Referral Form

If you prefer to send your application by mail you may click here to download a printable form.

Referral Form



Thank you for thinking enough about our Camp, and the person you are referring, by sending us the information on this referral form.

I understand and agree that information disclosed regarding any of the individuals named in this referral form and related documents may be disclosed or otherwise released to appropriate organizations or individuals (including, but not limited to: members of Camp Debbie Lou Staff, insurance companies, and physicians) in connection with attendance at Camp Debbie Lou. I hereby confirm that the above information is true and accurate and that once accepted, I agree to update this information as you may request.


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