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Additional Forms for Grief Camp

Step 3: Complete Additional Forms
A few additional forms are necessary for each camper. (Participant’s Health & Medication Information, General Confidentiality, Consent & Liability Release, Media & Communications Permission)

Click here or on the icon below to download the additional forms. These fillable forms may be completed electronically and emailed back or printed and mailed back.  To request a printed copy of the forms, please contact Shelley Kirby at 336.672.9300. 

These forms provide essential information for camp preparations. Please make every effort to complete and return these as quickly as possible.

Email completed forms to: [email protected]


Mail completed forms to:
Hospice of Randolph
Attn: Shelley Kirby
416 Vision Drive
Asheboro, NC 27203


If you have any questions, please contact Shelley Kirby at 336.672.9300 or [email protected].