Camp Neuro Revolution (previously known as Camp Spike and Wave) is a camp for youth with Epilepsy (seizure disorders).
Camp will be held from Wednesday, July 18th to Saturday, July 21st.
Camp is located in Park City, Utah, at the National Ability Center.
Please fill out the form below to the best of your ability to ensure a spot at Camp for your child - a time stamp* is included upon your submission and beds are limited!
Your submission will be outputted to a spreadsheet that is directly associated with this Google Form.
Please note that the EAU will not distribute or sell any of your information that you submit.
MAIL-IN OPTION & OTHER CONCERNS:
If you would prefer to mail in the basic application (similar to the questions below) have any questions or concerns please contact Holly E. Ferrin
- via text/voice: (801) 931-9629
- via email: firstname.lastname@example.org
*NOTE: This year's registration is on a first-come-first-serve basis so save your child's spot and apply now! Additionally, please note that there will be other paperwork you will need to fill out prior to the first day of Camp, which includes release forms, medical forms, as well as information forms for the National Ability Center.
SPONSORS, VOLUNTEER STAFF, NURSES, AND INTERPRETERS ARE NEEDED!
Please email Holly for more information on how you can help Camp Neruo Revolution be a success.