2026 Virtual Young Teen Asthma & Wellness Camps (VYTAWC) Camper (ages 11-15) or Leader-in-Training (LIT, ages 15-18).
Initial Registration for Summer Session 2026

Parent/Camper Information

Question Title

* 1. Please enter Name of Camper or Leader-in-Training (LIT) and his/her/their contact information (Please use separate surveys for multiple campers/LITs).

Camper/LIT Name

Age of Camper/LIT

Home (Mailing) Address

City/Town/State/Zip code

Parent/Guardian Name(s)

Parent/Guardian Email Address

Parent/Guardian Phone Number

Camper Email Address (Personal or School)

Alternate Email:

Alternate Phone:

Question Title

* 2. What school does your Camper attend & what is current grade?

Virtual Young Teen Asthma & Wellness Camp (ages 11-15, 1-week, June 22-26, 2026 ALL VIRTUAL).
LIT (ages 15-18) Training Monday June 3 (Virtual) then serve as a Group Leader During Camp.

Orientation sessions (Virtual) will be available for Camper/LITs/Parents/Guardians who register.

For More Information or to discuss, contact Ellen Buckner, ebbuckner@gmail.com (205) 910-9877.

2026 Virtual Young Teen Asthma & Wellness Camps (VYTAWC) Camper (ages 11-15) or Leader-in-Training (LIT, ages 15-18). Initial Registration for Summer Session 2026

Parent/Camper Information

Question Title

* 1. Please enter Name of Camper or Leader-in-Training (LIT) and his/her/their contact information (Please use separate surveys for multiple campers/LITs).

Question Title

* 2. What school does your Camper attend & what is current grade?

2026 Virtual Young Teen Asthma & Wellness Camps (VYTAWC) Camper (ages 11-15) or Leader-in-Training (LIT, ages 15-18).
Initial Registration for Summer Session 2026