Family Camp Registration

Oncology Family Camp

For kids with cancer ages 6-16 and their immediate family members.
Welcome to Happiness Is Camping's application! This application form is for Oncology Family Camp. Family Camp is for kids with cancer ages 6-16 and their immediate family members. Family Camp dates are as follows:
- Session 1: Memorial Day Weekend, Saturday, May 27 – Monday, May 29
- Session 2: Father’s Day Weekend, Friday, June 16 – Sunday, June 18
I acknowledge that I am registering a child with cancer between the ages of 6-16 for Family Camp.*

Yes

Camper Information

"Camper" means your child with cancer.
What is your Camper's name (aka the name of your child with cancer)?

First NameLast Name
When was {CamperName:first} born?*

MonthDayYear
Date
{CamperName:first} is a:*

MaleFemale
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Cancer Diagnosis Information

This section will gather some info regarding your Camper's cancer diagnosis.
We're so excited that {CamperName: first} wants to join us for Family Camp! Please tell us a little bit about their cancer diagnosis.
Cancer Diagnosis*
Date of Diagnosis*

MonthDayYear
Date
Is {CamperName:first} on active treatment?*

YesNo
Date of last treatment.*

MonthDayYear
Date
Name of {CamperName:first}'s home hospital/treatment center.*
Name of Doctor (Oncologist or Pediatrician)*
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.

COVID-19 Requirements

Happiness Is Camping's Medical Council has determined that all attendees must be fully vaccinated for COVID-19. "Fully vaccinated" means they received at least their primary series of shots. Our Medical Council recommends that each participant stay up to date with their booster shots. Click here for more information about the COVID-19 vaccine.
How many people in total will be attending Family Camp (including {CamperName:first})?*
Please list everyone who will be attending with {CamperName:first}. To add another person, hit the Add Another Attendee button.*
Have all attendees been fully vaccinated for COVID-19?*

YesNo
Please list anyone who is not fully vaccinated for COVID-19 and if they will be fully vaccinated prior to attending.*

Session Selection

This is where you will choose which session your Family will attend.
Now for the fun part! This page is where you will tell us which session your family will be attending.

Here are the ground rules for registration:
1. Families can only attend one session.
2. Priority will be given to families of a child with cancer who has never attended Happiness Is Camping before.
Oncology Family Camp Dates:
- Session 1: Memorial Day Weekend, Saturday, May 27 – Monday, May 29
- Session 2: Father’s Day Weekend, Friday, June 16 – Sunday, June 18
Please check which session your family would like to attend.*

Session 1: Saturday, May 27 – Monday, May 29Session 2: Friday, June 16 – Sunday, June 18

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 Cancer?*
Parent/Guardian 1 Email*
example@example.com
Parent/Guardian 1 Phone Number (Mobile)*
Please enter a valid phone number.
Parent/Guardian 1 Phone Number (Home)
Please enter a valid phone number.
Parent/Guardian 1 Address (If different from Camper's)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Would you like to add a second parent/guardian?*

YesNo
Parent/Guardian 2 Name*

First NameLast Name
Relationship to Child with Cancer?*
Parent/Guardian 2 Email
example@example.com
Parent/Guardian 2 Phone Number (Mobile)
Please enter a valid phone number.
Parent/Guardian 2 Phone Number (Home)
Please enter a valid phone number.
Parent/Guardian 2 Address (If different from Campers)

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.
Emergency Contact Phone Number (Home)
Please enter a valid phone number.
Emergency Contact Email
example@example.com
Emergency Contact Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Would you like to add a second Emergency Contact?*

YesNo
Emergency Contact 2 Name*

First NameLast Name
Relationship to Camper*
Emergency Contact 2 Phone Number (Mobile)*
Please enter a valid phone number.
Emergency Contact 2 Phone Number (Home)
Please enter a valid phone number.
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 1. 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

Child with Cancer:
- Health Form (Child with Cancer)
- Health History Form
- Insurance Card (Front and Back)
- COVID-19 Card
All Other Attendees:

The following items are required for EACH participant:
- Insurance Card (Front and Back)
- COVID-19 Card (for everyone 5+)
If you have them readily accessible, you can upload any of these files here. Please note that this is not required at this time.

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Cancelof
I agree to upload all required paperwork by May 1.*

Yes
Please verify that you are human*
Should be Empty:

Oncology Family Camp

Camper Information

Cancer Diagnosis Information

Family Member Registration

Eligibility Requirements

COVID-19 Requirements

Session Selection

Oncology Family Camp Dates:

Parent/Guardian Information & Emergency Contact

Emergency Contact Information

Paperwork Requirements

Paperwork Requirements to Attend

Child with Cancer:

All Other Attendees: