LampStrong Summer Camp Grants

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Submit your request for a LampStrong Summer Camp Grant for a pediatric cancer patients. The mission of the LampStrong Foundation is to support pediatric cancer patients and their families. Encouraging healthy lifestyles is an important pillar of the LampStrong Foundation.

For more information on the LampStrong Foundation visit http://LampStrong.com

Parent First Name *

Parent Last Name *

Child's Age *

Diagnosis

Is your child currently in treatment?

Yes

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Hometown (City & State) *

Cell Phone Number *

Contact Email *

Preferred Summer Camp Name *

Website Link to Preferred Summer Camp *

Summer Camp Start Date

YYYY

Summer Camp End Date

YYYY

Cost of Summer Camp *

Please tell us why you want your child to attend this camp and any background on your child and your family. *

Submit

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