Do you know a grieving family that could use support?

Complete this form, providing the family member’s contact information and a brief description of your relationship. Our team will follow up to share upcoming camp programs.

Person you would like to refer

(must be over the age of 18)

Your Information


Once we receive this request, we will email the referred individual an application form requiring additional details about their loss. We require this information about each member of their group attending the bereavement retreat. If you are an organization with multiple referrals, please contact [email protected].