Camp Registration

Guardian first name

Guardian ast name

Email

Address

Phone

Child's Name

Age group

Other family members at camp

Allergies

Name of the person/people who died

How was the child related to them?

How did this person die and what does the child know about this person's death?

Has your child attended Dustin's Place before? Check all that apply

Monday night family group nights

School groups

Camp DP

Swim Level

Does your child have difficulty with new environments and new situations? Please explain

Are there any discipline problems at home or at school? Please explain

Are there any social or emotional diagnosis or issues we should be aware of? i.e. depression, anxiety, autism spectrum, ADD, ADHD, etc...

Signature

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Donation

$20

$40

$50

Camp DP 2025

Mark you calendars now for Camp DP 2025 - Saturday July 19th. This single day grief camp is open to all kids walking through grief ages 6 yrs old - 18 yrs old. Kids Grief Camp will include peer grief support, craft activities, swim time, and many more adventures!

Camp DP 2025

Sponsor a Camper

Huge thank you to everyone that made camp possible in 2024! Your support and financial donations were greatly appreciated! We look forward to Camp DP 2025 and hope you will continue to support all of our campers.

Saturday July 19, 2025

10am - 5pm Camp Day

5pm-6pm Family Hour

at the LifePlex in Plymouth, IN

Camp Registration

Camp DP 2025

Camp DP 2025

Volunteer at Camp