2023 Camper Intention
Whether you are new or a returning family, we can't wait to welcome your camper to Hope With Heart Camp 2023! Please fill out the information below and then proceed with downloading our Camper Application from our website www.HopeWithHeart.org. Applications are due by April 30, 2023. If you have questions, please email Alissa Gretina, Camp Director, at algg039@gmail.com. For medical questions, please call Dr. George Kipel, our Camp Cardiologist, at (201) 741-0683.
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We are a "first-time" Hope With Heart family *
Camper's First Name *
Camper's Last Name *
Camper's Birthdate *
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DD
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YYYY
Parent(s) / Guardian(s) First and Last Name(s) *
Mailing Address (Street, City, State, Zip Code) *
Parent / Guardian Cell Phone Number *
Parent / Guardian Email Address *
How did you learn about Hope With Heart? *
Additional Comments?
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