Camper Application Part 2

Thank you for completing Part 1 of your child’s Application to Burn Camp!

In addition, you will need to download the Burn Camp Application Part 2 (pdf) which contains:

    • A State of Connecticut Health Exam Record, Health History, and Physician’s Report to be filled out by your physician
    • Authorization for Administration of Medical by Youth Camp Personnel
    • An agreement by you and your child to the Burn Camp Rules and Code of Conduct
    • An agreement to you and your child’s understanding the Camp Policy on Bullying
    • An agreement to you and your child’s understanding the Camp Disciplinary Conduct Policy
    • An agreement to you and your child’s understanding the Camp Policy on Forbidden Items
    • Waiver for Special Activities

These forms must be completed and mailed, emailed, or faxed back to us to complete your application.

Connecticut Burns Care Foundation
601 Boston Post Road
Milford, CT 06460

tel. 203-878-6744
fax. 203-878-4044
cbcf@ctburnsfoundation.org

If we do not receive the remainder of these forms, your child will not be able to attend Camp.

If you have any questions, additions, or corrections after submitting this form, please contact Tara Sullivan-Colon at 203-878-6744 or cbcf@ctburnscarefoundation.org.