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Camp TMT Application Form

Camp TMT Application FormKayla Newcomb2024-03-21T15:17:34-04:00

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Camp TMT 2024

Camp Dates: June 1, 2024 and June 2, 2024

Camp Time: 9:00am – 4:00pm

Location: Covenant Hills Camp (10359 Farrand Rd., Otisville, MI 48463

Have Questions?

Contact Kendall Roper at KLargarde@medteam.com

Camp TMT Application Form

Camper Information
Media Authorization
Camper Medical History
Camp Waiver

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Camper’s Information

Camper Name *

Camper Name

First

First

Last

Last

Name to be Printed on Camp Name Tag *

Age * Age

Note: Camp TMT is designed for kids age 6-16.

Grade (if applicable)

Gender *

T-Shirt Size *

Child

Adult

T-Shirt Size *

Small

Medium

Large

X-Large

XX-Large

Emergency Contact Info

**You will receive all communications from TMT Children’s Grief Camp**

Name *

Name

First

First

Last

Last

Email *

Phone *

Address *

Address

Address

Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Country

Country

Information About the Deceased

Name *

Name

First

First

Last

Last

Date of Birth

Date of Death *

Cause of Death *

Did Camper witness the death? *

No

Yes

Did Camper participate in the funeral services? *

Yes

No

Explain any information you feel may be helpful for us to know surrounding their death.

If you are human, leave this field blank.

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