Today M-D-Y
Camp Strong4Life is an overnight summer camp for kids 8 to 12 years old with overweight or obesity (BMI greater than the 85th percentile). Campers will learn healthy habits to last a lifetime while participating in typical camp activities like rock climbing, kayaking, archery and more! In addition to the overnight camp, Strong4Life offers camp families education and resources through a private Facebook group. We believe that empowering caregivers with the tools to promote healthy living in the home is the best way to support raising healthy, safe, resilient kids. Parents/guardians and their camper(s) are required to attend a virtual orientation to review camp week expectations.
Camp Week is June 8-13, 2025 at Camp Twin Lakes in Rutledge, GA.
Acceptance to camp is on a first come, first serve basis.
The online application will take approximately 30 minutes to complete. The following items are needed to complete your child's application:
Completed online application Medical form signed by a clinician Immunization records Medical insurance card (if applicable ) $50 registration fee (Please note: Financial scholarships and payment plans are available for eligible children) . Forms and payment may be submitted at a later date, but your child's application will not be reviewed and considered complete until all documentation is submitted.
Acceptance to camp is on a first come, first serve basis.
Click the link below to download a blank copy of the medical and immunization forms.
Parent/guardian first name:
* must provide value
Parent/guardian last name:
* must provide value
Your relationship to the child:
* must provide value
Mother Father Legal Guardian Grandparent Step-parent Other
If other, please explain:
Parent/guardian email address:
* must provide value
This email will be used for all camp related communication
Parent/guardian phone number:
* must provide value
List all legal parents/guardians of child:
* must provide value
What is the highest level of schooling that the child's primary guardian has completed?
* must provide value
Less than high school or equivalent diploma High school graduate (includes equivalency) Some college, no degree Associate's degree Bachelor's degree Graduate or professional degree
Used for grant and fundraising purposes
Are you an employee of Children's Healthcare of Atlanta?
* must provide value
Yes
No
How did you hear about Camp Strong4Life (select all that apply)?
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Name of doctor and practice that referred you to camp:
Specify how you heard about Camp Strong4Life:
Are you applying for more than one child to attend Camp Strong4Life?Please Note : A separate application must be filled out for each child.
* must provide value
Yes
No
Please list additional children names that may attend camp:
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Child's first name:
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Name child wishes to be called:
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Child's last name:
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Date of birth:
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View equation Camp Strong4Life is for kids 8-12 years old. For questions, email CampStrong4Life@choa.org
Biological sex:
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Male Female
Gender identification:
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Boy Girl Non-Binary
Preferred pronoun:
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He, Him She, Her They, Them Other
Race:
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Asian Black Caucasian Hispanic Multi-Racial Native American Other
Please specify your child's race:
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Primary language(s) spoken in the home (select all that apply):
* must provide value
Please specify the primary language(s) spoken in the home:
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What grade is your child entering in the Fall of 2025?
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2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade Other
What grade is your child entering in the Fall of 2025?
Height in feet:
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3 4 5 6
Height in inches:
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0 1 2 3 4 5 6 7 8 9 10 11
View equation Weight in pounds:
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Enter numbers only
View equation T-shirt size:
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Youth small Youth medium Youth large Youth XL Adult small Adult medium Adult large Adult XL Adult 2XL Adult 3XL Adult 4XL
Child's shoe size:
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Youth 3 Youth 4 Youth 5 Youth 6 Women's 6 Women's 7 Women's 8 Women's 9 Women's 10 Women's 11 Women's 12 Women's 13 Women's 14 Women's 15 Men's 5 Men's 6 Men's 7 Men's 8 Men's 9 Men's 10 Men's 11 Men's 12 Men's 13 Men's 14 Men's 15
(If in between sizes, please select the next size up)
Shoe width:
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Narrow Standard Wide (Women's D/ Men's 2E) Extra wide (Women's 2E+/ Men's 4E+)
Has your child attended Camp Strong4Life before?
* must provide value
Yes
No
Is this your child's first overnight camp experience?
* must provide value
Yes
No
Does your child have an appointment scheduled at the Strong4Life clinic this year (2025)?
* must provide value
Yes
No
Is your child a previous patient at the Strong4Life clinic?
* must provide value
Yes
No
Street address:
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City:
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State:
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Georgia Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
County:
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Atkinson County Bacon County Baker County Baldwin County Banks County Barrow County Bartow County Ben Hill County Berrien County Bibb County Bleckley County Brantley County Brooks County Bryan County Bulloch County Burke County Butts County Calhoun County Camden County Candler County Carroll County Catoosa County Charlton County Chatham County Chattahoochee County Chattooga County Cherokee County Clarke County Clay County Clayton County Clinch County Cobb County Coffee County Colquitt County Columbia County Cook County Coweta County Crawford County Crisp County Dade County Dawson County Decatur County DeKalb County Dodge County Dooly County Dougherty County Douglas County Early County Echols County Effingham County Elbert County Emanuel County Evans County Fannin County Fayette County Floyd County Forsyth County Franklin County Fulton County Gilmer County Glascock County Glynn County Gordon County Grady County Greene County Gwinnett County Habersham County Hall County Hancock County Haralson County Harris County Hart County Heard County Henry County Houston County Irwin County Jackson County Jasper County Jeff Davis County Jefferson County Jenkins County Johnson County Jones County Lamar County Lanier County Laurens County Lee County Liberty County Lincoln County Long County Lowndes County Lumpkin County Macon County Madison County Marion County McDuffie County McIntosh County Meriwether County Miller County Mitchell County Monroe County Montgomery County Morgan County Murray County Muscogee County Newton County Oconee County Oglethorpe County Paulding County Peach County Pickens County Pierce County Pike County Polk County Pulaski County Putnam County Quitman County Rabun County Randolph County Richmond County Rockdale County Schley County Screven County Seminole County Spalding County Stephens County Stewart County Sumter County Talbot County Taliaferro County Tattnall County Taylor County Telfair County Terrell County Thomas County Tift County Toombs County Towns County Treutlen County Troup County Turner County Twiggs County Union County Upson County Walker County Walton County Ware County Warren County Washington County Wayne County Webster County Wheeler County White County Whitfield County Wilcox County Wilkes County Wilkinson County Worth County Other
Ex. Fulton County
Zip code:
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Indicate the total income per year for your household:
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Less than $10,000 $10,000 to $14,999 $15,000 to $24,999 $25,000 to $34,999 $35,000 to $49,999 $50,000 to $74,999 $75,000 + Prefer not to answer
Information is used for grant and fundraising purposes.
How many total people live or stay in the same home as the child (including the child)?
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Information is used for grant and fundraising purposes.
Please select how much the following statement it true:
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Often true
Sometimes true
Never true
Don't know/refused
Often true
Sometimes true
Never true
Don't know/refused
Information is used for grant and fundraising purposes.
Please select how much the following statement it true:
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Often true
Sometimes true
Never true
Don't know/refused
Often true
Sometimes true
Never true
Don't know/refused
Information is used for grant and fundraising purposes.
Are you requesting a financial assistance scholarship to assist with the cost of camp?
* must provide value
Yes
No
If yes, you will be prompted to complete a brief financial aid form following this application
How does your child get along in the home ?
* must provide value
Very good- there are no concerns with siblings/parents
Good- occasionally needs redirection
Poor- often needs redirection or consequences
Very Poor- there are frequent concerns with siblings/parents
Very good- there are no concerns with siblings/parents
Good- occasionally needs redirection
Poor- often needs redirection or consequences
Very Poor- there are frequent concerns with siblings/parents
How does your child get along in school ?
* must provide value
Very good- there are no concerns with classmates
Good- occasionally needs redirection
Poor- often needs redirection or consequences
Very Poor- there are frequent concerns with classmates
Very good- there are no concerns with classmates
Good- occasionally needs redirection
Poor- often needs redirection or consequences
Very Poor- there are frequent concerns with classmates
How does your child get along with new peers ?
* must provide value
Great- is always making new friends
Good- is friendly to new peers
Average- Is friendly but not outgoing
Poor- does not like being around new people
Very Poor- has a hard time making new friends and often acts out when around new peers
Great- is always making new friends
Good- is friendly to new peers
Average- Is friendly but not outgoing
Poor- does not like being around new people
Very Poor- has a hard time making new friends and often acts out when around new peers
Does your child have any known challenges with following directions, respecting authority, fighting, eloping/running away, etc.?
* must provide value
Yes
No
Please explain:
* must provide value
Does your child have difficulty separating from you/other caregivers? (For example, at school, playdates?)
* must provide value
Yes
No
Please explain:
* must provide value
When your child becomes upset, what is the best way to help them cope?
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Has your child had a significant life event that has affected their mental or emotional well-being? (i.e., new school, moved recently, divorce, family change, adoption, foster care, new sibling, death of a loved one, survived a disaster, history of abuse, etc.)
* must provide value
Yes
No
Please explain:
* must provide value
Has your child ever had thoughts of suicide?
* must provide value
Yes
No
When:
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Within the last 30 days
1 to 3 months ago
3 to 12 months ago
More than a year ago
Within the last 30 days
1 to 3 months ago
3 to 12 months ago
More than a year ago
If you indicated your child has thought about or attempted suicide, a member of the camp team will contact you to discuss your child's safety plan while at camp.
Has your child ever attempted suicide?
* must provide value
Yes
No
When:
* must provide value
Within the last 30 days
1 to 3 months ago
3 to 12 months ago
More than a year ago
Within the last 30 days
1 to 3 months ago
3 to 12 months ago
More than a year ago
If you indicated your child has thought about or attempted suicide, a member of the camp team will contact you to discuss your child's safety plan while at camp.
Has your child ever engaged in self-harming behaviors such as cutting, scratching, burning, etc.?
* must provide value
Yes
No
When:
* must provide value
Within the last 30 days
1 to 3 months ago
3 to 12 months ago
More than a year ago
Within the last 30 days
1 to 3 months ago
3 to 12 months ago
More than a year ago
If you indicated your child has engaged in self-harming behaviors, a member of the camp team will contact you to discuss your child's safety plan while at camp.
The option "
If your child has been diagnosed with any of the following by a licensed professional, please select all that apply:
* must provide value
Other physical diagnosis/disorder:
* must provide value
Other emotional or behavioral diagnosis/disorder:
* must provide value
Other neurodevelopmental diagnosis/disorder:
* must provide value
Please provide additional information about the diagnose(s) selected:
* must provide value
Does your child commonly experience any of the following symptoms:
* must provide value
Has your child been hospitalized in the past year (this includes physical, mental, and behavioral conditions)?
* must provide value
Yes
No
Please explain:
* must provide value
Has your child had surgery in the past year?
* must provide value
Yes
No
Describe surgery type and dates:
* must provide value
Is your child able to use tampons during camp?
* must provide value
Yes, my child can use tampons No, my child cannot use tampons Child not yet menstruating N/a (does not apply)
Has your child had mononucleosis ("mono") during the past 12 months?
* must provide value
Yes
No
Provide dates:
* must provide value
Provide the name of your child's Primary Care Physician:
* must provide value
Provide the office of your child's Primary Care Physician:
* must provide value
Provide the telephone number of your child's Primary Care Physician office:
* must provide value
Provide the name of your child's Dentist:
* must provide value
Provide the office of your child's Dentist:
* must provide value
Provide the telephone number of your child's Dentist:
* must provide value
Is your child under the care of a counselor, psychologist, or psychiatrist?
* must provide value
Yes
No
Provide the name and telephone number of your child's therapist, psychologist, or psychiatrist:
* must provide value
Is your child under the care of a specialist (i.e Cardiologist, endocrinologist, gastroenterologist, etc.)
* must provide value
Yes
No
Provide the name and telephone number of your child's specialist:
* must provide value
The option "
Sleep habits (select all the apply):
* must provide value
Other sleep issues, please describe:
Describe special bedtime routines or sleep habits:Include any special needs, comfort items your child will bring, or bedtime rituals your child will need while away at camp.
* must provide value
Does your child have a history of bedwetting in the past year? During camp week, the Camp Strong4Life team washes all sheets that were soiled over night or during rest hour.
* must provide value
Yes
No
Does your child commonly need help from an adult with toileting or hygiene in their daily routine?
* must provide value
Yes
No
Describe the best way to help your child with hygiene or toileting:
* must provide value
Does your child take any medications regularly? This includes vitamins, over-the-counter medicines, and prescriptions.
* must provide value
Yes
No
List the names of ALL medications your child takes regularly:Note: Detailed information on medication dosing/administration will be collected closer to camp.
* must provide value
Is your child allergic to any medications?
* must provide value
Yes
No
List the medication(s) your child is allergic to:
* must provide value
What is your child's reaction to each medication?
* must provide value
Ex. hives, swelling
Does your child have any environmental and/or animal allergies?
* must provide value
Yes
No
List your child's environmental and/or animal allergies and reaction to each allergen:
* must provide value
The option "
Does your child have any food allergies (select all that apply)?
* must provide value
Describe your child's peanut allergy (select all that apply):
* must provide value
Please explain your child's peanut allergy:
* must provide value
What is your child's reaction to peanuts (select all that apply)?
* must provide value
What other reactions does your child have to peanuts?
* must provide value
Select the types of tree nuts your child allergic to (select all that apply):
* must provide value
What other tree nut is your child allergic to?
* must provide value
Please describe your child's tree nut allergy (select all that apply):
* must provide value
Please explain your child's tree nut allergy:
* must provide value
What is your child's reaction to tree nuts (select all that apply)?
* must provide value
What other reactions does your child have to tree nuts?
* must provide value
What is your child's reaction to eggs (select all that apply)?
* must provide value
What other reactions does your child have to eggs?
* must provide value
What is your child's reaction to shellfish (select all that apply)?
* must provide value
What other reactions does your child have to shellfish?
* must provide value
Describe your child's gluten allergy (select all that apply):
* must provide value
Please describe your child's gluten allergy:
* must provide value
What is your child's reaction to gluten (select all that apply)?
* must provide value
What other reactions does your child have to gluten?
* must provide value
List other food allergies and describe the reaction your child has to those foods:
Does your child use/carry an Epi (epinephrine) pen for any of their allergies?
* must provide value
Yes
No
The option "
Select any dietary restrictions your child has (select all that apply):
* must provide value
Describe any other food restrictions your child has:
* must provide value
What are some of your child's favorite hobbies and things to do?
Select your child's swimming ability:
Your child will be required to take a swim test the first day of camp to determine if he/she can go into the deep end of the pool. Counselors will assist in the pool and there will be lifeguards present at all times.
* must provide value
Cannot swim
With life vest and 1:1 assistance from counselor
Can stay afloat needs constant supervision
Some swimming ability must be able to touch bottom
Swimmer shallow end only
Swimmer can go in deep end
Other
Cannot swim
With life vest and 1:1 assistance from counselor
Can stay afloat needs constant supervision
Some swimming ability must be able to touch bottom
Swimmer shallow end only
Swimmer can go in deep end
Other
Describe other swimming ability:
* must provide value
Is there anything else we should know that will make camp a positive experience for your child?
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