Apply

There are a number of ways to apply below. We look forward to hearing from you.

All campers must have a congenital heart condition requiring lifelong follow up, and be within the right age range both by birthday and developmental status (Youth ages 8-12 years, Teens ages 13-14 years, Navigators ages 16-17 years). Campers are chosen on a first-come, first-served basis for age and gender depending on availability.

Please contact us if you have any questions about camp or your child’s eligibility. Our goal is to set all children up for success in our programs and to ensure we can accommodate their needs.

First Time Application:

For all first time applicants, please fill out the form below and our Registrar will contact you to discuss your child’s medical condition, other support needed, and your goals for your child’s participation.

Returning Campers:

Welcome back returning campers! Please contact us if you would like this year’s application.

Apply Online

Parent/Guardian Name*
Address*
City, State, Zip*
Email
Phone
Preferred Method of Contact:
Preferred Method of Contact*
- Phone
- Email
Camper Name*
Camper Date of Birth*
MM slash DD slash YYYY
Cardiac Diagnosis*
Any Other Conditions We Should Be Aware Of:
Program:
Program*
- Youth
- Teen
- Navigator
Additional Comments
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Comments
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