Events [calendar filter=”false” ] 2017 Camp No Limits Application Fields marked with an * are required Child's Name * Child's Date of Birth * Child's Age * Limb(s) Impacted * Previous Camp No Limits Experience? (Check for 'Yes') Parent / Guardian Name * Address * City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code * Phone * Approximate Annual Household Income Total Number of Family Members * How would this experience at Camp No Limits benefit your child? * In exchange for receiving the Scholarship, recipients and/or parents/guardians will be asked to provide a publicity release form to Camp No Limits and New England Amputee Association to use both photos and stories from Camp No Limits in communication and promotional materials.