•Please read the following enclosed materials carefully.

•Application must be filled out by an adult.

•Please mail application and forms to:

Camp Casey “The Sedona Way”

30 Homestead Road

Sedona, AZ 86336

Registration 3 page form  (All families should complete this form)

Financial form section II (Optional 2 page form if you are requesting financial aid) Income verification, i.e. wage statements, 2006 W2 forms, etc…must be included to process financial aid requests.)

Insurance form and permission to treat 1 page form

Camp Medical Form 4 page form (To be signed by parent/guardian)

 

Teacher Referral 2 page form (To be filled out by your child’s teacher, if child is currently in school.)

School Nurse Referral 2 page form (To be filled out by your child’s school nurse, if child is currently in school.)

 

Annual Physical Exam (Provided and signed by your child’s Health Care Provider; Physical must be less than 12 months from your child’s first day of camp)

 

FEES  

The actual cost to attend Camp Casey is over $1,100 per camper. We charge $800 for each registration plus the initial $50 application processing fee. Our additional cost is offset by contributions from businesses, other diabetes organizations, friends of Camp Casey, and families who contribute more than our stated tuition. We are thankful for their vital support. Please let us know if you would like to help support Camp Casey or know of others who would wish to support the Camp. (The application processing fee of $50 is non-refundable and must accompany the completed application to be accepted, regardless of financial status) Click here to make your payment

 

CAMPERSHIPS (FINANCIAL AID) –OPTIONAL

If you are requesting assistance, please completely fill out and sign the entire Financial form section II. Please consider approaching local companies/groups such as Lions, Rotary Club, Kiwanis, church groups, etc. because they often support children from their area who want to attend camp. Upon your request, we will provide these groups with additional information describing Camp Casey’s program. If you receive campership money from an outside group, the amount received will be subtracted from your Camp Casey Campership. This campership money will go back into the Camp Casey Campership Fund to help another child who may need assistance.

 

PAYMENT: All families must pay by Check or Money Order payable to: Camp Casey “The Sedona Way.”

 

FILLING OUT CAMP FORMS: The information we request from you is required by the American Camp Association. If you need any help completing the forms or have any questions regarding Camp Casey, please call (928) 282-6510, (928) 814-3567 or visit our website at www.diabetescamp.net. We will be happy to help you!

 

Please send your application in as early as possible since the sessions fill quickly. We look forward to hearing from you and we are honored that you are considering our program.