This is an interest form for Children's Healthcare of Atlanta's week-long overnight summer camps.  This is NOT an application for summer camp. It is simply a request to be added to our contact list so that you can stay informed of camp happenings.  For more information, including contact information for specific camps, please visit us at Children's Camps. 

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* 1. Child's Full Name

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* 2. Child's Date of Birth

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* 3. Child's age:

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* 4. Parent Name

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* 5. Parent Email

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* 6. Parent Phone Number

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* 7. What is your child's primary diagnosis?

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* 8. Which camp(s) are you interested in getting more information about?

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