Family Camp

Family Camp recognizes the vital role families play in a child’s recovery journey. This weekend program is designed for immediate family members of young burn survivors aged 10 and under, providing a supportive space for connection, understanding, and encouragement.

Intentional efforts are made to provide separate programming for parents/caregivers and children, alongside activities for the whole family. This approach allows parents and caregivers time to process the trauma and experience, while learning practical skills to navigate their family’s new normal. Children engage in activities tailored to their needs, all within a safe and nurturing environment.

Together, families build supportive relationships, share experiences, and celebrate their child’s unique strengths in a caring and inclusive setting.

This year, Family Camp will be held on June 19-21, 2026 at Camp Arnes, Manitoba. Register for camp today!

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Parent/Caregiver #1: Name *

First

Last

Parent/Caregiver #1: Email *

Parent/Caregiver #1: Phone Number *

Parent/Caregiver #1: Street Address *

City/Town *

Province *--- Select Choice ---ManitobaOntarioNunavut

Postal Code *

Parent/Caregiver #1: M.H.S.C/O.H.I.P/Nunavut Health # *

Parent/Caregiver #1: PHIN # (Manitoba only) *

If not a Manitoba resident, please input 000 000 000

Parent/Caregiver #1: T-Shirt size *--- Select Choice ---Adult SmallAdult MediumAdult LargeAdult XLAdult XXL

Parent/Caregiver#2: Name attending camp (if applicable)

First

Last

Parent/Caregiver #2: Phone Number

Parent/Caregiver #2: M.H.S.C/O.H.I.P/Nunavut Health #

Parent/Caregiver #2: PHIN # (Manitoba only)

If not a Manitoba resident, please input 000 000 000

Parent/Caregiver #2: T-Shirt size--- Select Choice ---Adult SmallAdult MediumAdult LargeAdult XLAdult XXL

Emergency Contact (please specify name, phone number, and relationship to family) *

Name of child who is a burn survivor *

First

Last

Date of Birth *

Gender *

• Male
• Female
• Non-binary

Child's PHIN # (Manitoba only) *

If not a Manitoba resident, please input 000 000 000

Child's T-Shirt size *--- Select Choice ---Child SmallChild MediumChild LargeChild XLAdult SmallAdult MediumAdult LargeAdult XL

Child's Legal Guardian (if different from above)

First

Last

Legal Guardian's Phone Number (if different from above)

Does your child have any concerns about their burn or frostbite injury?

Does your child currently require dressing changes, splints, or pressure garments? If YES, please specify including body part covered

Sibling #1 attending Family Camp

First

Last

Please note: siblings attending must be 16 years or younger

Sibling #1: Date of Birth

Sibling #1: Gender

• Male
• Female
• Non-binary

Sibling #1: PHIN # (Manitoba only)

If not a Manitoba resident, please input 000 000 000

(if Sibling size

Sibling #1: T-Shirt size--- Select Choice ---Child SmallChild MediumChild LargeChild XLAdult SmallAdult MediumAdult LargeAdult XL

Sibling #2 attending Family Camp

First

Last

Please note: siblings attending must be 16 years or younger

Sibling #2: Date of Birth

Sibling #2: Gender

• Male
• Female
• Non-binary

Sibling #2: PHIN # (Manitoba only)

If not a Manitoba resident, please input 000 000 000

Sibling #2: T-Shirt size--- Select Choice ---Child SmallChild MediumChild LargeChild XLAdult SmallAdult MediumAdult LargeAdult XL

Sibling #3 attending Family Camp

First

Last

Please note: siblings attending must be 16 years or younger

Sibling #3: Date of Birth

Sibling #3: Gender

• Male
• Female
• Non-binary

Sibling #3: PHIN # (Manitoba only)

If not a Manitoba resident, please input 000 000 000

Sibling #3: T-Shirt size--- Select Choice ---Child SmallChild MediumChild LargeChild XLAdult SmallAdult MediumAdult LargeAdult XL

Sibling #4 attending Family Camp

First

Last

Please note: siblings attending must be 16 years or younger

Sibling #4: Date of Birth

Sibling #4: Gender

• Male
• Female
• Non-binary

Sibling #4: PHIN # (Manitoba only)

If not a Manitoba resident, please input 000 000 000

Sibling #4: T-Shirt size--- Select Choice ---Child SmallChild MediumChild LargeChild XLAdult SmallAdult MediumAdult LargeAdult XL

Please list any allergies and for which family member (if applicable) *

Please specify any dietary restrictions in your family (ex: celiac/gluten free, dairy free, no pork, Halal, kosher, etc.) *

Do you require Medical Services Transport to travel to Winnipeg? *--- Select Choice ---YesNo

If you DO require Medical Services Transport to get to Winnipeg, what do you usually take?

A photographer will be on site at camp. Please indicate your photo consent *--- Select Choice ---YES photos of my family's participation in Family Camp may be used for camp publications and materialsNO photos of my family's participation in Family Camp cannot be used for any purpose

Submit