Eagles Nest Family Camp

Eagles Nest Family Camp

July 24-27, 2022
Eagles Nest Family Camp is intended to introduce young children with bleeding disorders and their families to the Camp Bold Eagle experience.

Eagles Nest is open to the immediate families of children with bleeding disorders ages 5-9 who have not previously attended Camp Bold Eagle. This 4-day, 3-night camping experience takes place at Pioneer Trails (1421 E. Fruitvale Rd, Holton, MI 49425), the summertime home of Camp Bold Eagle.

Space is limited!
As a social service health agency, HFM believes community and patient safety is a top priority. To ensure community members remain safe and healthy while attending HFM in-person events, HFM will require all participants to provide proof of full COVID-19 vaccination.

Full vaccination is currently defined as 2 doses of Pfizer or Moderna, 1 dose of Johnson & Johnson, and a booster shot for those eligible.
"I understand that, in order to attend Eagles Nest Family Camp, I will need to provide proof of full COVID-19 vaccination for each family member attending." *

Yes
To start, please tell us a little about your child with a bleeding disorder.
Child's Name *

First Name Last Name
Child's Date of Birth *

Month Day Year
Date
Has this child attended Camp Bold Eagle before? *

Yes No
Since space is limited, priority will be given to families of campers who are new to Camp Bold Eagle. You may continue the registration process to be placed on the waiting list in the event space is available.

If you have any questions, please contact Tim Wicks.
twicks@hfmich.org
Who else will be attending?

*Please only include immediate family members living at the same address*
Number of adults attending (limit 2) *
Please only include immediate family members living at the same address.
Number of additional children attending. *
Please only include immediate family members living at the same address.
Adult 1
Adult 1 Name *

First Name Last Name
Adult 1 Email *
example@example.com
Adult 1 Phone *
If opting-in for text notifications, please provide cell phone number.
Would you like to opt-in for text notifications from HFM?

Yes
Address *

Street Address

Street Address Line 2

City State

Zip Code
County of Residence *
Adult 2
Adult 2 Name *

First Name Last Name
Adult 2 Email *
example@example.com
Adult 2 Phone *
If opting-in for text notifications, please provide cell phone number.
Would you like to opt-in for text notifications from HFM?

Yes
Child 1
Child's Name *

First Name Last Name
Child's Date of Birth *

Month Day Year
Date
Does this child have a bleeding disorder? *

Yes No
Has this child attended Camp Bold Eagle? *

Yes No
Child 2
Child's Name *

First Name Last Name
Child's Date of Birth *

Month Day Year
Date
Does this child have a bleeding disorder? *

Yes No
Has this child attended Camp Bold Eagle? *

Yes No
Child 3
Child's Name *

First Name Last Name
Child's Date of Birth *

Month Day Year
Date
Does this child have a bleeding disorder? *

Yes No
Has this child attended Camp Bold Eagle? *

Yes No
Child 4
Child's Name *

First Name Last Name
Child's Date of Birth *

Month Day Year
Date
Does this child have a bleeding disorder? *

Yes No
Has this child attended Camp Bold Eagle? *

Yes No
That is all we need for now. If selected, we will contact you shortly with health forms and more information about what to expect and our camp policies.

Please make sure to click "SUBMIT" before you leave.
Questions? Please feel free to contact Tim Wicks at

twicks@hfmich.org, 734-961-3507.
Should be Empty:

Eagles Nest Family Camp

To start, please tell us a little about your child with a bleeding disorder.

Who else will be attending?

Adult 1

Adult 2

Child 1

Child 2

Child 3

Child 4