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NORTH IOWA HOSPICE Camp Green tree Registration Child's Name Sex Age Birth Date Nickname Address StreetCountyCity/StateZipName of person who died Relationship Date of Death Comments:EMERGENCY CONTACTS:
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Obtain the application form for the North Iowa Hospice Camp.
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Fill out the personal information section, including your full name, address, and contact details.
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Provide information about your medical history and any special needs or requirements.
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Indicate any allergies or dietary restrictions you have.
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Complete the emergency contact section with the name and phone number of someone who can be reached in case of an emergency.
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Sign the consent form, acknowledging that you understand and agree to abide by the rules and regulations of the camp.
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Submit the completed application form to the North Iowa Hospice camp organizers.

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North Iowa Hospice Camp is designed for individuals who are receiving hospice care or have experienced the loss of a loved one.
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It is also open to family members and caregivers who could benefit from the supportive environment and activities offered at the camp.
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North Iowa Hospice Camp is a summer camp program offered by North Iowa Hospice for children who have experienced the loss of a loved one.
Parents or guardians of children who wish to attend North Iowa Hospice Camp are required to fill out an application form.
To fill out North Iowa Hospice Camp application, parents or guardians need to provide basic information about the child and details about the loss of the loved one.
The purpose of North Iowa Hospice Camp is to provide a supportive environment for children to express their feelings, learn coping skills, and connect with others who have experienced similar loss.
Information such as the child's name, age, contact information, details about the loss, and any special requests or needs should be reported on North Iowa Hospice Camp application.
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