Which Camp do you want to attend?

First Choice

Second Choice

What is your swim level?

Surf/Paddling Experience

We expect most to select "None" here, but if you have prior experience, please let us know.

Skiing Experience

We expect most to select "None" here, but if you have prior experience, please let us know.

Snowboarding Experience

We expect most to select "None" here, but if you have prior experience, please let us know.

What other sports have you participated in?

Mountain biking, yoga, kayaking, hiking, running, etc., or none

Do you have any physical restrictions and/or any special needs?

Help us get to know you!

How did you hear about this program?

Describe your experience with cancer

Share as much or as little as you would like, from detailed info about your diagnosis, to how cancer has affected your life.

What is your survivorship birthdate & what it's significance for you?

This could be your last day of treatment, first day of remission, a surgery date, or whatever you consider that special day you'll never forget that signifies moving forward after cancer.

How do you feel you would benefit from attending Camp Koru?

Basically, tell us why you want to go!

Please tell us any topics you'd like to discuss at camp

Please share your dietary restrictions. (We cook very healthy, mostly organic ingredients for our camp.)

please be as specific as possible. example: "gluten free, but things like soy sauce are okay" or "severe peanut allergy", etc.

Historical Camp Experience

Have you ever attended a camp or retreat for cancer survivors before?

Have you or do you intend to apply/attend another young adult survivorship program prior to attending Camp Koru?

Was this camp dedicated to young adult survivors?

Which First Descents Program(s) did you attend? Please be specific: 1. Location, 2. Activity, 3. Month/Year, 4. Weekend or Week-long

Please tell us when you went, 1. which FD program(s) you did (FDi, FD1, FDX), 2. what activity you participated in (surfing, kayaking, rock climbing, etc.), 3. Location (Hood River, Moab, North Carolina, etc.), and 4. Date (ideally, month and year)

When did you attend True North Treks? Was this camp a week long or over the weekend?

Which Survive & Thrive Program(s) did you attend? Was this camp a week long or over the weekend?

Please tell us when you attended Survive & Thrive, and which program you attended (Grand Canyon, Owyhee River, Sailing, etc)

Which Send-It Program(s) did you attend? Was this camp a week long or over the weekend?

Please tell us when you attended a Send-It program and which activities you participated in (surfing, skiing/snowboarding, etc)

Which Camp Mak-A-Dream did you attend? Was this camp a week long or over the weekend?

Please tell us which Camp Mak-A-Dream you attended (Heads Up Conference, Young Adult Camp, etc), and when.

What other camp did you attend for young adults with cancer? Was this camp a week long or over the weekend?

Please share any other camp or retreat you attended specifically for young adults with cancer.

Please list any other camps/retreats for survivors you have attended Was this camp a week long or over the weekend?

Please tell us what, specifically, you hope to get out of attending another camp/retreat for young adult cancer survivors.

Please be as specific as possible. Now that you've been to one camp/retreat, do you hope to get anything new out of the Camp Koru experience?

Please feel free to provide any additional information that you think would be helpful for us.