Camp B&ST

Camp Program Event

When:

Mon Jul 25th, 2022 to Thu Jul 28th, 2022 - All Day

Where:

Camp Good Days Recreational Facility - Branchport, NY

A residential camping program for children, ages 8-17, who has lost a parent or sibling within the past FIVE years to cancer or sickle cell anemia.

Volunteer For This Program Here

NEW!! - COVID-19 Vaccine Requirements.
All campers attending an overnight program must be fully vaccinated against COVID-19. Learn more from the CDC website.

Camper's Name:

*Street Address:

*City:

State:

*Zip:

Country:

Phone:

Best Time to Contact - AM:

Best Time to Contact - PM:

*Email:

Age at Camp:

Date of Birth:

Gender:

T-Shirt Size

Name of Parent or Guardian:

Parent or Guardian Employer:

Employer Address:

I will be attending the Mandatory Camper Family Orientation on:

Via Zoom - Sunday, June 5th, 2022, 7:00 PM

Via Zoom - Wednesday, June 15th, 2022, 7:00 PM

Name of Family Member (Deceased)

Relationship to Family Member:

Diagnosis:

Diagnosis Date:

Deceased Date:

Hospital Affiliation of Family Member:

Hospital Affiliation of Family Member Phone:

Physician's Name of Family Member:

Physician's Name of Family Member Phone:

Email this Event to someone:

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