USA Patriots Kids Camp 2023
Kids Camp is open to children with amputations and/or limb differences from ages 8-12. We look forward to bringing you to camp!
Sign in to Google to save your progress. Learn more
Email *
Camper Application
This camp is provided by the USA Patriots to selected campers and one parent or guardian and includes all airfare, lodging, and meals. Additional family members will be directed to the hotel across from the camp site and are responsible for making those arrangements/payment.
Camper First Name *
Camper Last Name *
Camper Date of Birth *
Amputation/Limb Loss *
Parent First Name *
Parent Last Name *
Contact Phone Number *
Mailing Address *
Physical Address
If same as mailing address, leave blank.
Please select all that apply.
If camper has been sponsored, please indicate by who.
Have you applied and not been admitted to camp in the past? *
If yes, what year?
Clear form
Never submit passwords through Google Forms.
This form was created inside of USA Patriots.