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ATTENTION: 
Participants & Volunteers

To ensure we have adequate resources, staff, refreshments, etc. at each event, ALL participants and volunteers must PRE-REGISTER to attend a live event.

The ultimate goal is to develop a thriving "community" of AmpuCamp'ers interested in discovering and developing (or rekindling) their personal passion, purpose, and possibility by providing a variety of supportive, engaging, therapeutic, and (most of all), FUN activities for everyone involved. 

Please know that YOU are invited (and encouraged) to attend any/all events offered.  Think of AmpuCamp in terms of being a valuable "pay it forward" perpetual mentorship opportunity for all current (and future) limb loss/difference participants.

Please take a moment to complete the form below, as your feedback greatly enhances our ability to offer appropriate activities based on the ages, abilities, and interests of the participants.

See you at the next LIVE event.  Thank You!

First Name:
 *
Last Name:
 *
E-mail:
 *
Phone:
 *
Address:
City:
State:
Zip:
Age of participant:
 *
Total # attending:
 *
Area of limb loss/difference:
 *
Special requirements:
 *
Sports activities
Arts & Crafts
Musical Activities
Dance activities
Active games
Board & Video games
Magic activities
Animal-assisted activities
Socializing & Networking
New Technology (O&P)
Find a Mentor
Be a Mentor
Other (please specify):
 *
Comments:
AmpuCamp updates:
 
Check this box to join the AmpuCamp V.I.P. notification list
Security code:
 *
Do not enter anything in this field:

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