Camp Gibbous 2025- RSVP for Camp

CAMP GIBBOUS 2025

Reserve your spot today!

RSVP by Wednesday, May 1st
Camp Gibbous is for teenagers/young adults ages 14.5-21 with

SICKLE CELL DISEASE

Please note: this is not the official camper application.

The camper application will be available soon.
COVID-19 Safety and Vaccination Requirements:

Proof of COVID-19 vaccination is required to attend CG 2024!

COVID-19 vaccination requirements and safety protocols are under review by the Camp Gibbous medical team. Updates are coming soon.
How many Covid- 19 vaccine doses has your teenager/ young adult completed?

1 dose only (Pfizer/ Moderna)2 doses only (Pfizer/ moderna)2 doses + Booster(s)Not VaccinatedNot SureOther
Teenager/ Young Adult Information
Is your Teenager/ Young Adult a member of the SC Crew Program?*

Yes, active memberNo, but interested in joining SC CrewOther
I understand that Camp Gibbous is an overnight camp: August 22-24, 2025*

Yes, I understand
Has your Teenager/Young Adult attended Camp Gibbous before?*

Yes, returning camperNo, new camperOther
Teenager/Young Adult Name:*

First NameLast Name
Gender:*
For Other, how does your Teenager/Young Adult identify?
Age at Time of Camp (August 22-24th):*
Teenager/ Young Adult 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
T-Shirt Size:*

SmallMediumLargeX-Large2-XLarge3-XLarge
Hoodie Size:*

SmallMediumLargeX-Large2-XLarge3-XLarge
Teenager/ Young Adult Medical Center/ Hospital: (i.e Childrens Hospital Los Angeles):*
Teenager/ Young Adult Medical Provider/Nurse: *
Please upload a copy of your COVID-19 Vaccine:

Browse Files

Cancelof
Parent/Guardian Information
Parent or Legal Guardian:*

First NameLast Name
Relationship to Teenager/ Young Adult:*
Best Phone Number:*

Area CodePhone Number
This phone number is a:

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

Street Address

Street Address Line 2

CityState / Province

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

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:

Teenager/ Young Adult Information

Parent/Guardian Information