Camp Candlelight is one of the most cherished programs offered by the Epilepsy Foundation of Arizona and one we believe can be a life-changing experience for a child, and families, living with epilepsy. We are excited you are interested in applying to be a part of this opportunity. Camp Candlelight provides children ages eight to seventeen with a unique camping experience that combines traditional camp activities with specialized sessions that teach the campers about their seizures and gives them valuable tips for dealing with the challenges that epilepsy may present. Camp Candlelight is designed to be an educational experience, as well as fun. Campers are taught about seizures, medication and socialization from camp counselors and staff, many of whom have epilepsy, have a family member with epilepsy, or a background in healthcare.
Below you’ll find the downloadable PDF for the 2018 Camp Candlelight Med Staff App. This PDF has built-in form fields for you to complete. If your browser doesn’t support this, please download the PDF to your computer and open to fill in the fields.
✓ PART 1: GENERAL INFORMATION
✓ PART 2: MEDICAL STAFF ASSESSMENT QUESTIONS/OTHER INFO.
✓ PART 3: PROFESSIONAL INFORMATION
✓ CPR CARD/CERT. COPY (FRONT/BACK)
✓ PART 4: MEDICAL INFORMATION
✓ PART 5: PART 5: STAFF I.C.E. INFO
✓ PART 6: RELEASE OF CLAIMS AND CONSENT
***ATTN: WE DO NOT HAVE A FAX MACHINE***
