Sign Up for CAMP!

Fill out the form below and we will send a camp application! 
A COMPLETED CAMP APPLICATION reserves  your space!
Need help? Call us toll-free at (800) 625-7295.  

Request Information or Refer a child

I would like to:
I am a:
Name of  Camper
Gender:

Boy                  Girl
Date of Birth:    
  Patient Camper Sibling Camper
Primary Hospital:
Name of Parent / Guardian:
Mailing Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Email:
   
2008 Camp Sessions Dates Ages
Winter Camps  WOLP Winter Dec 29-Jan. 1 15-18 yrs.
   Winter Camp 2 January 18-21 9-14 yrs.
   Winter Camp 3 February 8-11 9-14 yrs.
   Winter Camp 4 February 15-18 9-14 yrs.
       
Family Camps  Family Camp 1 April 11-13 Families
   Family Camp 2 April 25-27 Families
   Campamento Familiar 1 May 9-11 Families
   Campamento Familiar 2 Sept. 26-29 Families
   Family Camp 3 Oct. 3-5 Families
   Family Camp 4 Oct. 10-12 Families
       
Summer Camps  Summer Camp 1 June 25 - July 1 9-15 yrs.
   Summer Camp 2 July 8-14 9-18 yrs.
   Summer Camp 3 July 20-26 9-18 yrs.
   Summer Camp 4 August 2-8 9-18 yrs.
   Summer Camp 5 August 14-20 9-18 yrs.
   Summer Camp 6 Aug 26 - Sept 1 9-15 yrs.
       
Send an application for