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Help us support our caregivers who serve the elderly and medically fragile in our community and are suffering financial hardship as a result of the pandemic.

camp cocoon campers

Camper Registration Form

We are excited for your child to join us at Camp Cocoon! Please follow these instructions to ensure your registration form is complete and we have all the information we need to ensure a healthy, safe, and fun camp experience.

  1. Download the Camper Registration Form.
  2. Fill out the form on your computer and print it out.
    1. For the Immunization Section, you can either fill in the form or mail a copy of your immunization record
    2. Each child must have his/her own complete form.
  3. Include a check for $25 made out to PruittCares Foundation.
  4. Include a copy of the front and back of your health insurance card.
  5. Mail the completed form, check, insurance card images, and (optional) immunization record to: PruittCares Foundation, 1626 Juergens Court, Norcross, GA 30093.
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