Retreat Registration

Step 1:
Please click on registration form link below.

Dragonfly Heart Camp Retreat Registration Form  

Step 2:
Please submit payment to complete the registration.

Step 3:
Please fill out and send in the forms below:

Transition Assessment Questionaire
North Bay Health Form
DHC Insulin Pump Form (if applicable)
Management of Diabetes Form (if applicable)
Medication Form

You will need to complete the transition readiness questionnaire, registration
and medical forms by November 15, 2014
.

 

For questions or comments contact:
Contact:
Kathi Naumann, Dragonfly Heart Camp Program Director
Email Address:
Director@DragonflyHeartCamp.org
Phone: 410-639-7756
Mailing Address: Dragonfly Heart Camp, 210 S. Cross Street, Chestertown, MD 21620

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