Application Forms

Midwest Children’s Burn Camp Application Forms

2018 Camp Dates: August 6 to 12

163Days 17Hours 37Minutes 25Seconds


Apply Online

Applications available soon.  For now, Campers can preregister for camp by completing the MCBC Preregistration Form
Also, please share our 2018 MCBC flyer.
Easy and Quick,  Campers (parents), Counselors-in-Training (ages 19 and 20) and Counselors (21 and over) apply online

  1. Go to 
  2. Enter email to get started
  3. Create account with Email and name
  4. Fill out new participant form
  5. Click- Register for a new session
  6. Select which you applying for (Camper, CIT, Volunteer Staff)
  7. Click- continue
  8. Click- Register (No fees! There is NO COST to attend MCBC)
  9. Please Share on social media (it is Optional)
  10. Click- continue to start your application!

Apply By Mail

If you prefer the paper forms and mail them in, here are the links:


  • Complete the MCBC Preregistration Form
    • Camper Information
  • Camper Health Form
  • Camper Behavior Contract
  • PADI Discover Scuba® Diving
  • Income Eligibility Information Letter 2018
  • Income Eligibility Form
  • Release Form (photo, video, transportation)