Primary Application – Camp Courage

This application is for the cancer patient/survivor that wants to attend camp. To be completed by the camper’s parent/legal guardian.

Camper InformationCamp Courage is a free camp for kids ages 7-15 who have cancer, are cancer survivors, or are siblings to a child with cancer. The Primary Camper Application provides information about the cancer patient or survivor that would like to attend camp. The application requires health history information and must be completed by a parent or legal guardian. All applications must be submitted by 6/30/26. *Note* Our camp does not have the ability to manage IV or central line medications. If your child has either of these, unfortunately they will not be able to attend camp at this time. Please feel free to reach out to campcouragecolorado@gmail.com for any questions.

First Name *Camper

Last Name *Camper

Birthday *

Camper

Email AddressCamper

Phone NumberCamper

Age *Camper (during camp)

Grade This Fall Semester *Camper

Gender *Camper

T-Shirt Size *Camper

How did you hear about our organization?

Has your child attended Camp Courage before? If yes, how many times?

Will a sibling be joining this camper at camp? If yes, please type how many and the sibling(s) full name. *

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