Register for Holidays with Camp Cosmos

Holidays with Camp Cosmos Registration Form

For a chance to win a $100 Target gift card, please complete the survey below:

Address / (habla a) *
Address / (habla a)

We encourage participation of parents and siblings!
Please provide the following details for everyone that will be attending.

Other Attendees

Who are they to the primary attendee? *
May we add you to ConnectMed’s master mailing list to keep you up to date with our work and events? *