2017 Camp Applications are Open!

Thank you for your interest in the 2017 Paddy Rossbach Youth Camp! This will be our 17th annual youth camp and we are working hard to make this the best year yet! The Amputee Coalition’s Paddy Rossbach Youth Camp is a 6-day, traditional summer camp experience for youth ages 10-17 with limb loss / limb differences. Campers are challenged to increase independence, test themselves, and build new friendships through fun and exciting activities in a caring and supportive environment. Camp will be held from July 7-12, 2017 at Camp Joy in Clarksville, Ohio. Counselors will arrive on July 5th. Camp is filled on a first-come, first served basis. We do anticipate that there will be more demand than available spots and the need to create a waiting list, so don’t delay!

You can also apply to be a counselor or to attend Leadership Camp.  Our camp page has more information, too.

Instructions

Please submit completed applications to Tonya Osborne-Simpson by Friday, March 31.

Online (preferred method): See form below.
Email
: camp@amputee-coalition.org
Fax: 865.525.7917
Mail: Amputee Coalition, 900 E Hill Avenue, Suite 390, Knoxville, TN 37915

You will be notified via email once your application has been received. We will email you by the end of April to notify you if your camper has been selected.

Camper Application

The Paddy Rossbach Youth Camp is for youths ages 10-17 with limb loss or limb difference who are living in the United States.


General Information


Parent/Guardian Information


Parent/Guardian #1

Parent/Guardian #2

Additional Information

Current or Past Medical Conditions/ Camp Support(s) Needed:

Please list any current or past medical conditions that may affect your child at camp (seizure disorder, diabetes, anxiety, etc.) and what support(s) are needed during camp to address the condition.

Condition/Diagnosis & Camp Support(s) Needed:
  Special Needs:
We encourage your child to be as independent as possible at camp. However, we understand that your child may need some assistance from time to time. Please complete the sections below to help us know how we can best serve your child.

Additional Camper Information:

e.x. Spiriva for Asthma, Administer once daily at 10am
Camper Travel Arrangements:

I understand that the Amputee Coalition will make all of the necessary travel arrangements and that the Amputee Coalition will cover the cost of airfare. I understand that the Amputee Coalition is responsible for arranging, rescheduling or canceling my flight. If I am unable to attend or needs to reschedule flights, I will contact the Amputee Coalition immediately and will be responsible for any fees resulting from a rescheduled flight or cancellation. I understand that I am responsible for my transportation to the airport. I am responsible for my child's baggage fees.

Please list the two closest major airports. To ensure the lowest airfare and most direct flight, you may need to drive up to 2-3 hours to get to an airport. 
Please indicate who will be picking up your child from the airport at the END of camp. You must inform the Amputee Coalition if this information changes.
I will fly with my child to the Cincinnati/Northern Kentucky International Airport and will be responsible for my airfare. I will schedule our flights to arrive at the airport by 1:00 pm, July 7th. I will pick up my son/daughter by 8:30 am at the airport on July 12th. The Amputee Coalition will designate a drop-off and pickup location at the airport. I am responsible for dropping off and picking up my child at the designated drop-off and pickup location at the airport. I understand that I am responsible for arranging, rescheduling or canceling my flight. I will provide my flight itinerary to the Amputee Coalition. I understand that if my child is unable to attend, the cost of my child's airfare will not be reimbursed. I am responsible for my child's baggage fees.                                                                                                                                                                                                                                                       The Amputee Coalition will reimburse my travel expenses up to $600 only if my child attend camp for the entire week and an email with itemized flight itinerary and receipt are provided by August 14, 2017.  
I will be responsible for dropping off and picking up my child at the Cincinnati/Northern Kentucky International Airport. I understand that the drop off/pickup location and time will be set by the Amputee Coalition. If I am unable to drop off/pick up my camper at the designated time or location, I will contact the Amputee Coalition staff to discuss options. The Amputee Coalition will reimburse my mileage up to $600 only if an email with mileage driven to camp is received by August 14, 2017.

Need assistance with this form?

Counselor Application

Counselor positions are available for individuals with limb loss or limb difference who are at least 20 years old. Counselor dates: July 5-12, 2017. Counselors must be able to participate the entire week.

Instructions

Please submit completed applications, waivers, and a recent photo to Tonya Osborne-Simpson by Friday, March 31.

Email (preferred method): camp@amputee-coalition.org
Fax: 865/525-7917
Mail: Amputee Coalition, 900 E Hill Avenue, Suite 390, Knoxville, TN 37915

You will be notified via email once your application has been received. After the deadline, our camp committee will review all applications and select the 2017 counselors. We will email you mid-late April to notify you if you have been selected.

Download the Counselor Application

Leadership Camp Application

Leadership Camper positions are available for individuals with limb loss or limb difference who are 18 – 19 years old. Participants will spend the week developing self-advocacy skills and learning how to build strong communities through curriculum and mentoring. The program will focus on modeling the way, inspiring shared visions, challenging processes, enabling others to act and encouraging the heart.  Participants will return home challenged and empowered to live up to their full potential and to assume leadership roles in many areas of their lives. Successful graduates will also have the opportunity to be a counselor at the Amputee Coalition’s Paddy Rossbach Youth Camp in future years.

How to apply?
The application process is competitive and there are only 20 spaces available. Please follow these directions to apply:

  1. Complete the attached application and waivers.
  2. Write a 2 page essay describing the importance of leadership and examples of how you have shown leadership in your community.
  3. Provide 2 letters of recommendation from individuals (non-family) that can attest to your leadership skills and character.
  4. Submit a photo of yourself.
  5. Submit all documents by March 31st.

Email (preferred method): camp@amputee-coalition.org
Fax: 865/525-7917
Mail: Amputee Coalition, 900 E Hill Avenue, Suite 390, Knoxville, TN 37915

You will be notified via email once your application has been received. After the deadline, our camp committee will review all applications and select the 2017 leadership campers. We will email you mid-late April to notify you if you have been selected. Please note that email will be our primary form of communication, but feel free to call anytime if you have a question.

Download the Leadership Camp Application

Questions?
If you have any questions or concerns, please contact the Camp Director, Tonya Osborne-Simpson:

Email: camp@amputee-coalition.org
Phone: 888/267-5669, x8103