Camp Out From Cancer always provides Care Packages at no cost to
families with children currently going through treatment for cancer.
Fill out the form below if YOUR child would like to receive a care package.
If you are looking to send a Care Package to a FRIEND, please click here.

Referral from parent:

Child's Name:
Child's Age:
Address:
City:
State:
Zip:
Qualifying Medical Condition:
Your Name
Relationship to Recipient:
Caringbridge, Blog or Facebook page: (for evidence of eligibility)
Email
Phone:

Each Kit Includes: