August 27-28, 2016 Held at Camp Hollywoodland Los Angeles, CA

R E Q U E S T F O R PA P E R
A P P L I C AT I O N O N LY: P L E A S E
PRINT
Parent/Guardian Name:
_________________________________________
Parent/Guardian Address__________________________
WE’RE HERE FOR YOU!
The American Diabetes Association’s Camp Strong is a
prevention camp for youth who are at high risk for developing
type 2 diabetes. Camp will offer an educational and fun-filled
environment and will focus on diabetes education, nutrition,
physical activity and obesity prevention.
_________________________________________
City__________________ST_______ Zip___________
Home Phone_________________________________
Cell Phone___________________________________
HELP MAKE CAMP POSSIBLE
Visit www.diabetes.org or call 888-DIABETES to get involved locally.
PRESENTING SPONSOR
Work Phone__________________________________
Email Address_________________________________
Physicians Nurses Hospitals
Child’s Name_________________________________
Child’s Address
(if different than parent)
_________________________________________
City__________________ST_______ Zip___________
Child’s Date of Birth
August 27-28, 2016
Held at Camp Hollywoodland
Los Angeles, CA
_________________________________________
Camper Grade (entering in Fall 2016)
_________________________________________
Gender
q Male
q Female
_________________________________________
Q U E S T I O N S ? C O N TA C T
Signature of Parent or Guardian
Brett Griswold
American Diabetes Association
E-mail: bgriswold@diabetes.org
Phone: 1-888-DIABETES x 7512 or 323-966-2890 x 7512
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Physicians Nurses Hospitals
6/16/16 11:08 AM
OUR CAMPERS
ACTIVITIES
•Explore the great outdoors and enjoy traditional camp
activities.
•Discover new things about themselves and how they
can manage diabetes.
•Connect with other kids and health professionals.
•Have fun at summer camp–just like any kid!
•Arts & Crafts
•Campfires
•Hiking
•Basketball
•Volleyball
•Swimming
•Low Ropes
Course
•Rockwall
Climbing
PARENTS KNOW THEIR KIDS ARE
• Surrounded by health professionals who provide continuous
medical supervision.
• Interacting with counselors who serve as positive role models.
• Learning to balance nutrition and physical activity.
•Cooking
CARE AT CAMP
ABOUT ADA CAMP STRONG
The purpose of this camp is to strengthen and educate children and
their families on the importance of healthy living. Campers will enjoy a
fun-filled atmosphere where you will meet others, participate in outdoor
activities, and learn from health professionals on how to strengthen your
life. Parents will have an opportunity to engage with health professionals
to learn about lifestyle changes for the whole family.
• Meeting friends who are learning how to strengthen their life.
• Gaining confidence and discovering new skills.
THE AMERICAN DIABETES
ASSOCIATION’S CAMP PROGRAM
The American Diabetes Association (ADA) is proud to be the leading
provider of diabetes camps. Through these efforts, the Association
serves more than 5,300 children with diabetes each year. Camp can
have a long-term positive impact on the lives of children with diabetes
and their families.
WHEN: August 27-28, 2016
WHO:
For children who have a BMI ≥ 85% and a family
history of Type 2 Diabetes
COST:
Camp Strong is free to all families
• Physicians, nurses, and other health care providers who provide
round-the-clock medical supervision.
• Registered dietitians who plan meals and snacks, and manage all
special dietary needs.
• Program staff trained to deliver fun, safe, and supervised
recreational activities and sports.
• Counselors trained to help kids adapt to the camp environment.
The American Diabetes Association makes every attempt to
HOURS:
Child Drop off between 8am-9am and pickup
accommodate medical and/or emotional needs of campers.
between 4:00pm-5:00pm
However, if we can not meet your child’s needs, the
THE
American Diabetes Association reserves the right to
OPTIONAL: Overnight Saturday evening for
TRUE COST
deny admission to Camp and we will refund your
interested campers (1 parent may join
FOR A CAMPER
deposit.
their child for the overnight portion
T O AT T E N D I S
of camp)
$700, BUT ALL
WHERE: Camp Hollywoodland
FA M I L I E S
3200 Canyon Drive
AT T E N D F O R
Los Angeles, CA 90068
FREE.
AGE RANGE: 7–15 years
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Our first priority is the physical and medical safety of your child while
they enjoy a traditional camp experience. Our staff includes:
APPLY TODAY
Step 1: Mail the completed Reservation Form in this brochure to
Camp Strong, American Diabetes Association,
611 Wilshire Blvd Suite 900, Los Angeles, CA 90017.
Step 2: Within a few weeks, you will receive a Camp Application
packet.
Step 3: Complete and mail this Camp Application by
August 19, 2016.
Due to limited space, it’s important to mail your complete Camp
Application as soon as possible.
Parents will join the children in the morning and
in the afternoon to learn about healthy eating,
physical activity, and leading a stronger life.
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