Sickle Cell Family Camp Registration 2026

Sickle Cell Family Camp

For kids with sickle cell ages 5-16 and their immediate family members.
Welcome to Happiness Is Camping's application! This application form is for Sickle Cell Family Camp. Family Camp is for kids with sickle cell disease ages 5-16 and their immediate family members. Family Camp dates are as follows:
- Friday, June 19 to Sunday, June 21
Yes

Camper Information

"Camper" means your child with sickle cell.
How many children with sickle cell disease between the ages of 5-16 years old will be attending?*
Camper (child with sickle cell disease) 1 Name*

First NameLast Name
Camper 1 Birthdate*

MonthDayYear
Date
MaleFemale
Camper (child with sickle cell disease) 2 Name*

First NameLast Name
Camper 2 Birthdate*

MonthDayYear
Date
MaleFemale
Camper (child with sickle cell disease) 3 Name*

First NameLast Name
Camper 3 Birthdate*

MonthDayYear
Date
MaleFemale
Camper (child with sickle cell disease) 4 Name*

First NameLast Name
Camper 4 Birthdate*

MonthDayYear
Date
MaleFemale
Family's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Sickle Cell Diagnosis Information

This section will gather some info regarding your Camper's sickle cell diagnosis.
{CamperName1:first}'s Sickle Cell Diagnosis*
Type of Sickle Cell
{CamperName2:first}'s Sickle Cell Diagnosis*
Type of Sickle Cell
{CamperName3:first}'s Sickle Cell Diagnosis*
Type of Sickle Cell
{CamperName4:first}'s Sickle Cell Diagnosis*
Type of Sickle Cell
Name of Camper's home hospital/treatment center.*
Name of Doctor (Hematologist or Pediatrician)*
Please list all doctors if you are registering multiple children with SCD who see different doctors.
Name of Child Life Specialist/Social Worker
Child Life Specialist/Social Worker your child works with, if applicable.
Child Life Specialist/Social Worker Email
example@example.com

Family Member Registration

This section is where you will register all other Family Members attending with your Camper.
Eligibility Requirements

Please note that only immediate family members are eligible to attend. This includes parents, legal guardians, and siblings.

Other caregivers such as a grandparent or aunt/uncle may be considered on a case-by-case basis. To see if a caregiver qualifies, please email Ryan at ryan@happinessiscamping.org or call him at (908) 619-9937.
How many people in total will be attending Family Camp (including any children with SCD)?*
Please list everyone who will be attending. To add another person, hit the Add Another Attendee button.*
Please list the names of any attendees who also have sickle cell disease but are not between the ages of 5-16 years old.*

Parent/Guardian Information & Emergency Contact
This is the final step! Please add any relevant parent/guardian contact information and include at least one emergency contact.
Parent/Guardian 1 Name*

First NameLast Name
Relationship to Child with Sickle Cell?*
Parent/Guardian 1 Email*
example@example.com
Parent/Guardian 1 Phone Number (Mobile)*
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian 1 Phone Number (Home)
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian 1 Address (if different from address previously listed)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
YesNo
Parent/Guardian 2 Name*

First NameLast Name
Relationship to Child with Sickle Cell?*
Parent/Guardian 2 Email
example@example.com
Parent/Guardian 2 Phone Number (Mobile)
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian 2 Phone Number (Home)
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian 2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Information

Please note: Emergency Contact MUST be different from parent/guardian.
Emergency Contact Name*

First NameLast Name
Relationship to Camper*
Emergency Contact Phone Number (Mobile)*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Phone Number (Home)
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Email
example@example.com
Emergency Contact Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
YesNo
Emergency Contact 2 Name*

First NameLast Name
Relationship to Camper*
Emergency Contact 2 Phone Number (Mobile)*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact 2 Phone Number (Home)
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact 2 Email
example@example.com
Emergency Contact 2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Paperwork Requirements
Mandatory paperwork must be submitted by May 15. Please be advised that registration is not 100% complete until all mandatory paperwork has been uploaded. A member of the HIC Staff will email you with instructions to upload required paperwork.

Paperwork Requirements to Attend
- Health Form for any child with sickle cell disease between the ages of 5-16 who will be attending
- Family History Form
Additionally, families must bring with them to camp proof of health insurance for each attendee.
Yes
Please verify that you are human*
Should be Empty:

Sickle Cell Family Camp

Camper Information

Sickle Cell Diagnosis Information

Family Member Registration

Eligibility Requirements

Parent/Guardian Information & Emergency Contact

Emergency Contact Information

Paperwork Requirements

Paperwork Requirements to Attend

Additionally, families must bring with them to camp proof of health insurance for each attendee.