Request Support Program Information

Thank you for your interest in learning how Camp I Am Me’s burn survivor support programs can assist you or a family member. Completing this form is also appropriate if you are interested in receiving the Camper Application Form for our signature Summer Camp Program for young survivors, ages 7-20. Upon receiving your information, a member of our staff will reach out to you to see how we can assist you or your family member’s recovery.

By providing your cell phone number, 1-2 text messages will be sent per month, providing updates on upcoming support programs. Reply HELP for help, and STOP to opt-out. Msg&Data rates may apply. SMS SHARING DISCLOSURE: No mobile data will be shared with third parties/affiliates for marketing/promotional purposes at any time.