Camp Comfort Interest FormCamp Comfort Interest Form "*" indicates required fields 3/5/2025 Update: The day camp session is currently on a waitlist status. On this interest form, the day camp session can be selected, but a spot isn’t guaranteed.Thank you for your interest in Camp Comfort! This interest form is the first step in the application process. Upon submitting this form, you will be contacted by the Camp Comfort Director via email within 3 business days. For all families new to Camp Comfort, a brief intake phone call will be set up prior to sending the Full Camper Application. For families who are returning, the Full Camper Application will be sent via email after the interest form is received. We look forward to supporting your family!*Please note: Campers who have attended the weekend camp twice will only be considered for the day camp. Campers who have attended the day camp once and weekend camp once can be considered for a third year at the day camp or the weekend camp. Thank you for understanding!How did you hear about Camp Comfort?*Select one.Child's School (Counselor, Teacher, etc.)Child's Therapist (includes Judi's House, another group setting or individual therapist)Internet SearchFamily member/friend/community memberSummer Camp Site (Kids Out and About, Camps Rock!, etc.)Other (Please specify below)List other here.How many campers are you wishing to register?*Select Number of Campers123+Please selectList the camper(s) first and last name and their age this summer. If registering more than one camper, select the plus sign to add additional rows. We are accepting campers who will be ages 6 – 12 this summer.*First NameLast NameAge (this summer) Add RemoveHas the camper, or at least one of the campers listed above, attended Camp Comfort before?* Yes NoWhat year? If registering for more than one camper and one has attended prior and others haven't, indicate that here.*Which Camp Session are you interested in? (For the Interest Form, multiple can be selected, however, campers will attend one session per summer)* Weekend Camp: June 13 – 15 Weekend Camp: July 11 – 13 Day Camp: July 22 – 24 (this session is currently on a waitlist status) Undecided, more information is requestedPlease provide us with some brief information about the person who died (relationship to the camper(s), cause of death, date of death)Main Contact Person for the intake phone call and full camper application* First Name Last Name Main Contact's relationship to the camper* Parent Guardian Counselor/Therapist/Caseworker OtherMain Contact's Email Address* Enter Email Confirm Email Main Contact's Phone Number*Can this phone number receive text messages? If so, do you give permission to receive a text message in the event that no contact is made after an email and phone call attempt?The director will initially reach out via email. In the event that there is no response from the email, a phone call will be made to the number listed above. If given permission, a text message will also be sent in an attempt to make contact. Yes NoIf needed, please add any additional information or questions here: