Camp Kesem 2014: General Information Application

Thank you for your interest in Camp Kesem, a camp for children who have or had a parent with cancer. Please note that campers may attend only one session of Camp Kesem at one university per year. We accept campers according to the order in which their applications are received, this application will be time stamped and you will see a message acknowledging receipt of your application. If you are filling out this form for more than three children, please contact the Family Relations Coordinator at with additional information. Please include, "General Information Application for Additional Children" in the subject line.
* Required

Camper Information

Child 1