Camper RSVP 2025

CAMP CRESCENT MOON 2025

Reserve your spot today!
RSVP by Saturday, March 1, 2025

Please note: this is not the official camper application.

The camper application will be available soon.
Camp Crescent Moon is for children ages 7-15* with

SICKLE CELL DISEASE

We mldren who will be 6.5 at the time of camp. This consideration will be on a case-by-case basis and requires additional paperwork and an interview with the camp administration. Please contact the SCDF if your child is in this age group and would like to be considered.

*Extended to age 15 for campers to allow for the missed year due to the Covid-19 pandemic. Age 15 is not guaranteed for future camp years.
Child's Information
I understand that Camp Crescent Moon is an overnight camp: July 19-26, 2025.*

Yes I understand
Has your child attended Camp Crescent Moon before?*

Yes, returning camperNo, new camperOther
We have four parent/camper information sessions scheduled if you would like to learn more about CCM. The virtual sessions are held from 12:00 noon - 1:00 pm on the last Thursday of the month from January - April 2025. We hope you can join us.*
Encouraged for NEW Campers or parents who are unsure about sending child to camp
Child's Name:*

First NameLast Name
Gender:*
For Other, how does your child identify?
Age at Time of Camp (July 19-26, 2025):*
Child's Diagnosis:*

SS (Sickle Cell Anemia)SC (Sickle Cell C Disease)S-Thal (Sickle Beta Thalassemia)SD (Sickle Cell D Disease)SE (Sickle Cell E Disease)UnknownOther
Child's Medical Center / Hospital: (i.e Children's Hospital Los Angeles):*
Child's Medical Provider/Nurse:
Child's Medical Provider/Nurse Contact Number:

Area CodePhone Number
Parent/Guardian Information
Parent or Legal Guardian:*

First NameLast Name
Relationship to Child:*
Best Phone Number:*

Area CodePhone Number
This phone number is a:*

Cell PhoneWork PhoneHome Phone (land line)Other
Texts Accepted?*
Parent/Guardian Email Address:*

Confirmation Email
Parent/Guardian Home Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you learn about Camp Crescent Moon?*

Sickle Cell Disease Foundation Email BlastSickle Cell Disease Foundation StaffDoctor or NurseInternet searchSocial MediaOther
Comments/Questions/Concerns:
For office use only
notes/comments
Should be Empty:

Child's Information

Parent/Guardian Information