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We are offering 2 camp options this year!!!

Camp DP OR Camp Erin South Bend

Get ready for connection, laughter, and healing!

At Dustin’s Place, we know that even in the midst of grief, kids deserve moments of joy, friendship, and simply being a kid. That’s why we’re excited to offer two incredible camp experiences this year each designed to support grieving children and teens in a fun, safe, and understanding environment. Join us for the one-day Camp DP in Plymouth on July 18th or the unforgettable weekend at Camp Erin South Bend on September 25–27. Both experiences are filled with meaningful activities, new friendships, and powerful moments that remind every child—they are not alone on their journey.

Camper application is below. Please know this form is an application. We do have a limited number of campers and may not be able to accept every application. Following this application, you will receive an email by June 1st if your youth is invited to attend camp. If they are invited, there will be additional paperwork and signatures needed prior to camp date.

Sponsor a Camper

Huge thank you to everyone that made camp possible in 2025! Your support and financial donations were greatly appreciated! We look forward to Camp DP 2026 as well as Camp Erin South Bend this year and hope you will continue to support all of our campers.

Camp Registration 2026

Camp DP

Saturday July 18, 2026

10am - 5pm Camp Day

5pm-6pm Family Hour

at the LifePlex in Plymouth, IN

Camp Erin South Bend of Dustin's Place

Friday Sept. 25th - Sunday Sept. 27th

Friday Registration 5:30pm

Sunday Pick Up 11:00am

at Camp Raybird, South Bend, IN

Camper Application

Which camp are you applying for? Day Camp DP or Overnight Camp Erin - Dustin's Place?

Day Camp DP - July 18th

Overnight Camp Erin - Dustin's Place - September 25 - 27th

Both

Camper First name*

Camper Last name*

What would your camper prefer to be called

Birthday

Month

Day

Year

Age

School Name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Does this youth share time between addresses?

Yes

Please list additional mailing addresses for youth

Email*

Phone

Youth Tshirt size

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Adult XL

Adult 2XL

Caregiver first and last name

Caregiver Phone

Caregiver Email

Is either parent or guardian an active, reserve, National Guard, military member or veteran?

Army

Coast Guard

Navy

National Guard

Marine Corps

Air Force

Branch Unknown

Youth Bereavement History - Please include name, relationship, year information for all significant deaths in the youth's life. If including more than 1 person please list information together - example: susie - mom, 2019, johnny - brother, 2024.

What was the cause(s) of death:

Did the youth attend the funeral/memorial services? If yes, what were the youth's reactions? If no, was there a reason they did not attend?

Do you and the youth talk about the person who died?

Yes

Did the youth receive counseling/grief support before or after the death? If yes, please specify services.

Describe the relationship between the youth and the deceased (i.e. saw each other every day, visited twice a year, tension between)

How do you see your youth experiencing and expressing their grief?

Has the youth experienced any other deaths? (i.e. pets, distant relatives, friends, teachers)

Youth mental and emotional needs. Has the youth exhibited any of the following behaviors in the last two months? (check all that apply)

ongoing sleep challenges

regression

depression

drug/alcohol use

harmed self

unusual/inappropriate sexual behavior

nightmares

behavior issues at home

lying

destruction of property

harmed others

specific fears

behavior issues at school

stealing

run away from home

mentioned suicide

none

Other

Please provide more information about the behaviors checked above:

Does your youth have any diagnoses that would be helpful for us to know? If yes, please explain. (i.e. autism, depression, ADD/ADHD, etc...)

Describe any other changes/stressors in the youth's life (i.e. divorce, illness, moves, etc...)

Have you noticed a change in the youth's social behaviors or peer relationships? If yes, please describe

Have your child's behaviors, things they have said or done, concerned you lately? If yes, please describe

Is your youth receiving any support at school for education or social emotional needs? If yes, please describe.

Are there any helpful coping strategies used at home or school that would be helpful for our camp staff to know? Please share 1-3 strategies.

Has the youth ever been involed with the juvenile justice system?

yes

If yes, check all that apply

arrested

held in juvenile detention

placed on probation

went to court

involved for status offense (i.e. truancy, runaway, ungovernable)

other

If yes, please describe:

Is there any additional information you would like us to know about this youth that would help them have a positive experience at Camp Erin - Dustin's Place?

Signature

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By signing above, I am certifying that all information in this application is true, complete, and correct to the best of my knowledge. Please print name below as well and relationship to youth.

Date

Month

Day

Year

Donation

$25

$50

$100