Camp Brainstorm Reference Form

Camp Candidate Reference
Camp Brainstorm is a 5 day/4 night residential summer camp for children with epilepsy ages 8 to 17 held at Camp Aranzazu in Rockport, Texas. Often children with epilepsy are denied the privilege of attending summer camp because of their epilepsy, but that is not the case at Camp Brainstorm. Camp is a place where children are able to try new things in an environment that is safe, encouraging, and supportive.

The mission of Camp Brainstorm is to provide a safe, enjoyable, residential camping experience for children with a primary diagnosis of epilepsy, to build self-esteem by promoting self-confidence, competency and social interaction, and to foster independence in a safe environment away from home.

Please take a few minutes to complete this reference form. For more information about Camp Brainstorm or the Epilepsy Foundation Central & South Texas contact us at (210) 653-5353 or by email at camp@efcst.org.

Camp Candidate Reference
How do you know this candidate?*
How long have you known this candidate?*
What few words best describe this candidate?*
What is your sense of how well this candidate will do away from home in a new environment for 5 days/4 nights?*

Camp Candidate Reference
I recommend this candidate for Camp Brainstorm:*
With Great EnthusiasmStronglyWith Reservation
Comments:
Thank you for your time and your thoughtful comments about the candidate you are recommending.
Verification*
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