Get ready to apply
Casey Cares Foundation
Birthday Blasts
What you get
Birthday Blasts when you are enrolled. The gifts or activities aren't published. Ask. Open now.
- Who starts it
- You, with a document from your social worker or doctor
- How it’s sent
- Email to Summer@CaseyCares.org, or by post
- Your time
- About 30 minutes, plus waiting for the document
- Last checked
- Aug 27, 2026
Before you start, check you fit
- Your child is 17 or under.
- Published service-area boundaries, quantities, and response timing are not complete.
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Ask your social worker or doctor for the documentStart here. This is the part that takes the longest.
Casey Cares Foundation needs a signed confirmation of the diagnosis from your social worker or doctor. It has to cover one thing. Copy this message, or say it in person at the next visit.
Hi [social worker’s name], We’d like to apply to Casey Cares Foundation’s Birthday Blasts. Birthday Blasts when us are enrolled. They are taking applications now. They need a signed confirmation of the diagnosis from you or someone on the care team. It has to cover reason the child should qualify despite meeting fewer than two published criteria. Their form and instructions are here: https://caseycares.org/for-families/ Could you do that when you have a chance? I’ll bring the printed form to our next visit, or I can email it. Thank you for everything you do for us. [your name] · [phone]
Copying is the only thing this page does with your text. Nothing is saved. -
Fill in their formPrint it, or fill it in on screen if the PDF allows.
Open the application PDF ↗ Checked Aug 27, 2026What the form asks for
family informationChild's NameAlternative name (Nickname)BirthdateAgeMale / FemaleHome AddressHome PhoneCell Phone 1 and whose number it is (Father / Mother / Other)Cell Phone 2 and whose number it is (Father / Mother / Other)Email 1 and whose address it is (Father / Mother / Other)Email 2 and whose address it is (Father / Mother / Other)Parent/Guardian and relationship to patientSecond Parent/Guardian and relationship to patientSocial Worker/Child Life Worker's namePrimary Physician's nameHospitalParent/Guardian signature and dateSecond Parent/Guardian signature and dateInitial to acknowledge the Participation Waiver and Releasemedical documentation · your care team fills this inHospital and City/StatePhysician Name, Phone, and EmailSocial Worker/Child Life Specialist Name, Phone, and EmailChild's illnessInitial date of diagnosisLast treatment dateDate of last office visitIs child frequently hospitalizedIs child on active treatmentIs child on hospice careIs child's illness critical and/or life-threateningIf at least 2/4 above criteria are not met, please explain the reason that child should still qualify for programsOnly ONE signature is required: Physician, Social Worker/Child Life Staff, or Hospital Staff Signature and DateAdditional information about familyHave ready
- Completed Casey Cares family application and participation waiver acknowledgment.
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Email your application and the document togetherTo Summer@CaseyCares.org. Or post it to the address on the form. Your social worker or doctor can send it instead if the document has to stay with them.
- Send the completed application to Summer@CaseyCares.org, fax it to 443-524-9949, or mail it to 7100 Columbia Gateway Drive, Suite 155, Columbia, MD 21046.
Email: Summer@CaseyCares.org
Fax: 443-524-9949
Subject: Birthday Blasts application, [child’s name] Hello, Attached are our completed application and the document from [social worker’s name] at [hospital]. Please let me know that it arrived and if anything is missing. Thank you, [your name] · [phone]
After you send
Call 443-568-0064 if receipt or eligibility review needs confirmation. If you have not heard back in two weeks, write and ask whether it arrived.
