Registration Information for Cardiac Kids Camp
To register for camp, please fill out the parent form (pdf) for your child. You may either type or clearly write your information.
There is also a medical form (pdf) that must be filled out by your child’s cardiologist. Please contact your cardiologist for assistance in filling out this form.
Once the forms are completed, they must be mailed by May 15, 2017, to the following address:
Le Bonheur Cardiac Kids Camp
848 Adams Ave.
Memphis, TN 38103
Along with the forms, a recent photograph of your child, a copy of your child’s insurance card, prescription card and a copy of your child’s immunization/shot record are needed. All of this information must be mailed into the above address by June 1, 2016 in order for your child to attend camp.
If you are 21 years old or older and would like to be considered for a counselors position please fill out the counselors form (pdf). All counselors must have their BLS and it must be current.
For more information, e-mail the Cardiac Institute at firstname.lastname@example.org.