Ho’oulu Me Ka Ikaika: June 8-11, 2013

Each spring Camp Ho‘oulu Me Ka Ikaika (Grow With Strength) helps teenagers and young adults who have been diagnosed with cancer begin to explore important life issues and learn to face their problems with hope and positivity.

Camp Ho‘oulu Me Ka Ikaika is a retreat held at Camp Mokuleia (map), offered at no charge to teenagers (14-21 years old) with cancer. Campers must be from Hawai‘i, Guam, or other Pacific Islands and registered with their local American Cancer Society field office. For Neighbor Island teenagers, air and ground transportation is also covered. Space is limited with preference going to those who have been recently diagnosed with cancer or are still in active treatment.

CLICK HERE to print and mail your registration form, or SUBMIT the form below to register online.

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Camp Anuenue (ages 7-18)

Hooulu Me Ka Ikaika (ages 14-21)

Camper's Name(required)

Camper's Nickname

Birth date(required)

Age(required)

Sex(required) Male Female

Address(required)

City(required)

State(required)

Zip

Resident Island/Territory(required) Oahu Maui Molokai Lanai Big Island Hawaii Kauai Guam

Camper's Cell/Pager

Camper's Email (required)

Race/Ethnicity (optional) African American/Black

Am. Indian/Alaska Native

Asian

Caucasian/White

Hispanic/Latino

Multi-racial

Native Hawaiian

Pacific Islander

Race/Ethnicity: Other

T-Shirt Size Youth SM Youth M Youth L Adult SM Adult M Adult LG Adult XL Adult 2X Adult 3X

Special Dietary Needs

Parent/Guardian Name(required)

Home Phone(required)

Cell Phone

Email Address(required)

Doctor's Name(required)

Doctor's Phone(required)

Treatment Facility(required)

Island(required)

Date of Diagnosis(required)

Type of cancer(required)

Emergency Contact(required)

Relation(required)

Home Phone(required)

Cell Phone(required)

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For more information please contact Debra Glowik:

American Cancer Society Hawai‘i Pacific
Childhood Cancer Programs
2370 Nu‘uanu Avenue
Honolulu, Hawai‘i 96817

Office: (808) 432-9105
Neighbor Islands: 1-888-227-7107, ext 105
Cell: (808) 489-7425
Email: debra.glowik@cancer.org