Kid's Camp Registration

Thursday, July 25, and Friday, July 26, 2024

9:00am - 4:00pm

*Check-in Begins at 8:30am

Location: Maybury Farm, 50165 Eight Mile Road, Northville, MI 48167 

*To ensure a camp shirt in your child's size, please register by June 28, 2024 

Kid's Camp is part of our Circles of Hope Program. Our annual kid's grief camp is designed to help children connect with other children to know they are not alone in their grief. We help achieve opportunities for children to learn about the reactions and emotions associated with grief, the significance of developing healthy coping skills, and ways to grow through the grief journey by sharing our stories. Ages: 4-14. Theme: "Getting on Par with Grief" 



Please click here to print out the Michigan Jaguars Waiver Form.

Please click here to print out the Equine Horse Therapy Waiver Form (Miner Equestrian/Healing with Horses).

Please send both of these completed forms to [email protected] email or 

mail them to New Hope at 133 W. Main Street, Suite 113, Northville, MI 48167.

Thank you.

* Required Fields
Campers Information - Please complete a separate form for each child attending.
Form to be completed by Parent/Legal Guardian.
Loss Information
Parent/Legal Guardian Contact Information
Medical Information
  
In accordance with the Michigan Department of Licensing and Regulatory Affairs, the following information is required in order for any medication to be administered to your child while in attendance at any New Hope Center for Grief Support, Inc. (New Hope) program or activity. Note: All medication containers and any measuring tools must be provided by the parent/legal guardian AND be labeled with the child’s name. No over-the-counter medication (including Tylenol or Aspirin) will be provided to participants by New Hope, its agents, officers, employees, volunteers, representatives, assigns, and/or other agencies working or volunteering on behalf of New Hope.  
Emergency Contact Information
Camp Terms & Conditions
  
acknowledge I am authorized to give consent for Camper to attend and participate in the New Hope Center for Grief Support, Inc. (New Hope) Kid’s Camp (Camp), that New Hope is hosting at Maybury Farm, operated, and sponsored by New Hope. I understand that participation in various recreation and physical activities always carries with it potential risks and dangers, including personal injuries, up to and including death. I represent that Camper is in good health and physical condition and that Camper has not been advised otherwise by any qualified medical personnel not to participate.
In the event of extreme weather including but not limited to thunder and lightning or a tornado, all Camp activities will halt, and campers, staff, participants, volunteers, and other onsite stakeholders (Participants) will take shelter. The New Hope Executive Director, or designee, will initiate the extreme weather response. If thunder and lightning are present, all participants will take shelter inside the secure designated structures, shelter, or barn. In case of a tornado watch or warning, all participants will take shelter inside the Maybury Park Office, located at 49601 Eight Mile Rd, Northville MI, 48167. Camp volunteers may need to use their personally owned vehicles to transport camp participants to the Maybury Park Office. By signing below, you are acknowledging and agree that you understand the risks associated with severe weather and give permission for your child to be transported only in the event of severe weather to the Maybury Park Office in a Camp Volunteer’s personal vehicle. You are also agreeing that New Hope Center for Grief Support, Inc., its agents, officers, employees, volunteers, representatives, assigns, and/or their agencies working or volunteering (collectively the “Releasees”) on behalf of New Hope are in no way liable for any risk associated with transportation to accommodate campers should severe weather concerns arise. For a copy of the complete weather policy, contact the New Hope office.  
  
In consideration for participation in Camp, I hereby on behalf of myself and on of behalf Camper, and our respective executors, administrators, heirs, next of kin, successor, and assigns, agree to (1)WAIVE, RELEASE, DISCHARGE the Releasees from any and all liability, claims, costs, expenses, attorney fees, demands, actions and causes of action whatsoever arising out of or related to any loss, damage, personal injury, medical negligence, including death, disability, property damage, property theft or actions of any kind, including during travel to and from, or participation in Camp and (2) to the fullest extent permitted by law, I further grant my permission to New Hope, to secure emergency medical and surgical treatment and to provide routine, nonsurgical medical care if necessary, for the minor child named above, while attending our Camp or program.
INDEMNIFY AND HOLD HARMLESS the Releasees from any and all liabilities or claims made by other individuals or entities as a result of or relating to Camper’s participation in the Camp. I, on behalf of myself and Camper, acknowledge that this Participant Waiver and Release of Liability Agreement (Waiver) shall be construed in accordance with the laws of the State of Michigan. I acknowledge and represent that I have read this Waiver, understand it, and sign it voluntarily as my own free act and deed; no oral representations, statements, or inducements, apart from the foregoing written agreement, have been made; I am fully competent; and I execute this Waiver for full, adequate and complete consideration fully intending to be bound by same. In signing this, I also understand that the services provided by the staff and/or volunteers of New Hope Center for Grief Support are strictly support services and not professional counseling. As part of that support, New Hope provides follow-up communication via phone and/or email. In signing this, I also agree to allow New Hope Center for Grief Support to use my and/or my child(ren) photographs and video footage on their website and other promotional documents from this event as they see fit.  
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