Grief support

Camp Tamarack

2024 Camp Tamarack: Albert and Ann Deshur JCC Day Camp

Camp Tamarack is a summertime week-long day camp designed for children aged 7-12 who are grieving a death. This is a chance for children to share similar experiences, explore feelings, and learn coping skills in a group setting, as well as have fun participating in camp activities

Dates

July 2024

Transportation

Busing is provided by the JCC and is available to and from the camp from the Children’s Corporate Center, 999 N. 92nd St, Wauwatosa, 53226. Buses will leave Children’s at 8:30am and will arrive back at Children’s at approximately 4:45pm each day of camp. Meet in front of the Children’s Corporate Center for drop off and pick up.

Photographs/Recordings

Photographs and/or recordings of participants may be taken and used by the JCC and/or Children’s Wisconsin. All rights therein are and shall remain the property of the JCC and/or Children’s Wisconsin, its successors and assigns. The JCC and/or Children’s Wisconsin may use photographs and/or recordings of participants, without compensation, in any and all forms now or hereafter known (print, website, social media, etc.). The JCC and/or Children’s Wisconsin is not responsible for photographs and/or recordings taken by others.

For more information, please contact the Grief Support team, at (414) 377-4250 or griefsupport@childrenswi.org.

Parent name

Phone number

Address

City

State

Zip

Email address

Names of children attending and age/grade (ex. John Smith age 12, Susie Smith age 14)

Emergency contact

Relationship

Emergency contact phone number

Name of person who died

Age

Date of birth

Date of death

Gender

Please list any allergies, food restrictions/needs, accessibility needs or other special information that may be of help to the staff.

Are there any mental health issues that the facilitators should be aware of?

Please indicate number of T-Shirts needed for each size. If you do not need a certain size, leave blank.

Youth small

Youth medium

Youth large

By selecting this checkbox, you understand and agree that you are electronically signing this document and agree to the terms listed below.

Waiver form

2023 Camp Tamarack - Albert and Ann Deshur JCC Rainbow Day Camp

Release of Liability

I understand that my child’s participation in this camp may involve some risk including injury or illness, with losses which may result not only from my child’s own actions, inactions or negligence, but also from the actions, inactions, or negligence of others. I certify that my child is in good health, and there is no medical reason preventing my child’s safe participation in this camp. In consideration for my child’s participation in the camp, I agree to forever waive all claims and causes of action against the Harry and Rose Samson Family JCC, Children’s Hospital of Wisconsin, Inc., their affiliates, directors, officers, employees, volunteers and agents (the “Released Parties”) and release from all liabilities, demands, claims, losses, costs or damages arising out of or related to my child’s participation in this camp. I understand that this release excludes any harm or loss caused intentionally or recklessly by the Released Parties.

I have read this waiver and release agreement and understand the terms used in it and their significance. This waiver and release is freely and voluntarily given with the understanding that right to legal recourse is given up in return for allowing my child’s participation in this camp. I also waive the right I (or my child) have to bargain for different release of liability terms. My signature on this document is intended to bind myself and my (or my child’s) successors, heirs, representatives, and assigns.

I have read this information. I am legally able to consent for myself or my child. By checking the box above, I give my permission and agree to the terms.

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