Please fill out the form below to be added to the Camp Watchme 2025 waitlist. Camper Name * First Name Last Name Date of Birth Parent Name First Name Last Name Parent Name First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone Number Email * Areas where lymphedema is present? (Please be specific): What is the current treatment plan? Are you planning on bringing additional attendees? Yes, I would like to bring an additional person at my own cost. (Adult-$849 or Child-$399) No, just one parent and one child. I understand if a spot opens for Camp Watchme 2025, I will have 72 hours from the point of contact to confirm attendance and pay the registration fee. * Yes Thank you!