Registration for Alive Teen Retreat

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Dear Teen / Parent,

We are pleased you have registered for the Alive Teen Retreat to be held Friday evening, October 18, through Sunday afternoon, October 20 at Camp Youth Incorporated in La Vergne, TN. In the pages ahead you will find the Alive Hospice Registration Form, our Medical Consent Form, our Pre-Camp Assessment, our Teen Retreat Covenant, and our Authorization for Release of Information Form. Please complete these forms online OR print them, complete them and mail them to Pam Quaintance, Alive Hospice, 1629 Williams Drive, Murfreesboro, TN 37129.

If it is more convenient you can also scan the forms and email them to Pam at or fax them to her at 615-346-8675. In addition we have included a copy of our dress code, a packing list and a map and directions to Camp Youth Incorporated. (This information is on the next screen when you click Continue to Page 2 below.)

We have a weekend planned with lots of exciting activities – so get ready to connect with other grieving teens, spend lots of time outdoors at our location on J. Percy Priest Lake, challenge yourself on the climbing tower, zip line and high ropes course and in general have a really awesome time. Please dress according to the weather, with clothing for both the warm and cool weather we can get during this time of year. Sunscreen and insect repellent are recommended along with tennis shoes, a jacket and at least one pair of jeans.

We look forward to meeting you on Friday, October 18! Please remember we usually have a waiting list, so if you find out you cannot attend, let us know as soon as possible. If you have any questions, please contact Pam at 615-346-8680.


Pam Quaintance, LCSW and Lauren Thurman, LCSW
Teen Retreat Co-Directors

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