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Applications & Criteria for Summer Residential Camp


2012 Summer Residential Camp

Summer Camper Selection Criteria - (Application Print Materials in Right-hand Side Column)
The following criteria have been established for summer sessions 1 through 8. In order for a child to attend the Double H he/she must:

  1. Have a diagnosis of cancer, sickle cell anemia, hemophilia, HIV/AIDS, serious blood disorder, collagen vascular disease, inflammatory bowel disease, mitochondrial disease, and selected neuromuscular impairments (with priority given to muscular dystrophy, CP, and spina bifida) that would preclude attendance at a regular camp.
  2. Must be ages 6-16 for regular sessions (one through seven) and ages 17-21 and a prior Double H camper for Alumni session.
  3. Must have attached physician’s forms to indicate that child is medically able to attend camp and all medical information completed in order to provide the optimum level of care for the child while at camp.

While we wish we could accommodate everyone, it is impossible to guarantee enrollment. Acceptance is based on a first come, first served basis in addition to medical criteria focusing on the needs of the child and our ability to provide safe and appropriate camp programming.  All applications are medically reviewed by our Nursing Director and Medical Direction.

Sibling Camper Program Information - (Application Print Materials in Right-hand Side Column)

Who is eligible to participate in the 2012 Sibling Program?

  1. Sibling of qualifying campers enrolled in any summer session.
  2. Priority is given to siblings of qualifying campers enrolled in session 1 (June 22-27).
  3. Sibling between the ages of 6-16.
  4. We will not be able to allow qualifying campers to move sessions. Therefore, the qualifying camper and siblings may not be able to attend the same session.

How to apply for the 2012 Sibling Program?

  1. Completion of Double H Sibling Application. 
  2. All sibling applications will be medically reviewed for approval.
  3. Admission will be based on a first come, first served basis (limited space is available).

Application Print Materials

Please click the links below to download and print an application.

Summer Residential Camper Application

2012 General Application*

*Required for each camper

Supplemental Medical Forms

Please submit only those supplemental medical forms applicable to your child’s diagnosis and medical care.

Central Venous Line Form

Immune Disorder Form

Mitochondrial Disease

Other Bleeding Disorders Form

Hemophilia Form

Infusion Pump Form

Neuromuscular Form

Sickle Cell Anemia Form

Sibling Camper Program

General Sibling Program Information

Sibling Application


If you would like a hardcopy of the print materials listed above please email our Admissions Coordinator or call 518-696-5676 ext. 263