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Dream Day Family Application 2026
Thank you for applying to Dream Day on Cape Cod! We hope to see you this summer! Qualified applicants are chosen based on timestamps of application. If you have questions about qualifying, please reach out to cd@dreamdayoncapecod.org for assistance.
Application Information
Please note that the age criteria is 2-22 years of age. Families that have not attended before and those residing on Cape Cod and the Islands receive priority. Please not that the waiting list is a rolling list. You can apply for the waiting list anytime and receive a cancellation notification at anytime leading up to the day of camp. Please be sure your contact information and other answers accurate. Please indicate if your have attended prior to this form.
Email
*
example@example.com
Qualifying Camper Full Name
*
First Name
Last Name
Has your family attended summer camp before?
*
Yes
No
How many years have you attended? ( Put 0 if you are a new family).
*
Camper Date of Birth
*
-
Month
-
Day
Year
Date
Camper Age
*
Camper Gender Identification
*
Male
Female
Transgender
Non Binary
Other
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Camper Primary Qualifying Diagnosis
*
Camper Secondary Diagnoses
Do you require an accessible cabin (Please note, Priority is given to those who require access, as not all of the cabins have a ramp.)
*
Yes
No
Other
Does your child utilize any assistive devices?
*
Yes
No
Please specify any assistive devices:
Does your child have a central line?
*
Yes
No
Camper Allergies
*
Medications
Seasonal
Food
Pets
Other
Please elaborate on any allergies from above:
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Please list all attending family member information ( Please include nurses and PCA's as well)
Family Member #1 Name:
*
First Name
Last Name
Name
First Name
Last Name
Name
First Name
Last Name
Name
First Name
Last Name
Name
First Name
Last Name
Name
First Name
Last Name
Name
First Name
Last Name
Name
First Name
Last Name
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Please check any dietary restrictions (We are a nut free camp)
*
Gluten Free
Dairy Free
Vegetarian
Vegan
None
Specify which family member has the particular dietary restriction listed above. (Please note we order our food a head of time so please let us know when filing this out so we can have everything your family needs).
Please list any additional family member medical issues or allergies:
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Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please list any other pertinent information about your family that we should know.
Please list any referring organizations (child life specialists, social workers, hospitals, etc).
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Please list in priority order your camp session availability.
Campers are selected on a first come first serve basis. Please note you may not be selected for your first choice.
First Choice
*
1. June 28-July 3
2. July 5- July 10
3. July 12- July 17
4. July 19- July 24 Cancer Family only week
5. July 26- July 31
6. August 2- August 7
7. August 9- August 14
8. August 16- August 21
Second Choice
*
1. June 28-July 3
2.July 5-July 10
3. July 12- July 17
4. July 19- July 24 Cancer Family only week
5. July 26- July 31
6. August 2- August 7
7. August 9- August 14
8. August 16- August 21
Third Choice
*
1. June 28-July 3
2.July 5-July 10
3. July 12- July 17
4. July 19- July 24 Cancer Family only week
5. July 26- July 31
6. August 2- August 7
7. August 9- August 14
8. August 16- August 21
Submit
Should be Empty: