Embers of Hope Camper Information
Burn Suvivor and Sibling Application
Please list both parents or all guardians
New campers parents/guardians will be contacted after receipt of application with additional questions regarding the campers health, injuries, and/or limitations.
If yes, a Fire & Burn Foundation staff member will be in contact with additional questions. These are essential to providing a safe and healthy camp experience for your child and others.
Health Information
Medications
If yes, please list the names, dosages, and frequency?
Camper Behavioral Information
Releases and Waivers
Consent to Share Complete Application Materials with Sponsoring Organization:

We often host children that other organizations are sponsoring, and periodically applications are submitted to the Fire & Burn Foundation in error. Your signature below will allow us to forward a copy of your child’s completed application to the sponsoring organization.

By signing below I agree that the information contained in this application is complete and accurate to my knowledge. Additionally, I consent for this application to be shared with any organization that sponsored my child's attendance to the Fire & Burn Foundation's Embers of Hope Camp.

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About Us

The Fire & Burn Foundation is a 501 (c) 3 California nonprofit health agency. The agency is governed by an all-volunteer Board of Directors, all elected by the process stated in agency by-laws.

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