Name * First Name Last Name Email * Which session are you able to attend? Session 1 (June 16th-20th, 2021) Session 2 (June 20th-24th, 2021) Both Do you need transportation to and from the Denver airport? * Are you okay rooming with two families? If you have concerns, please specify. Do you have any food allergies we need to be aware of? Are you interested in participating in the group activities (ropes course, zip lining, archery, horse back riding, hiking, etc.)? Yes No Will you be receiving the COVID 19 vaccine prior to camp? If yes, please specify date (if applicable). Are you interested in receiving a certified pediatric lymphedema course? Yes No Is there a certain course or area you would be willing to teach (one hour)? Do you prefer a weeknight or weekend zoom meeting in May for an initial orientation? weeknight weekend Any other questions/comments/concerns? Thank you!