Get ready to apply
Nevada Childhood Cancer Foundation
Camp Cartwheel
What you get
Camp activities for children affected by serious illness and their siblings, with medical care on site. Applications are closed for now. It opens by season, so ask when the next round starts. The deadline is Apr 30, 2026.
- Who starts it
- You, with a letter from your doctor
- How it’s sent
- PDF form, sent the way they ask
- Your time
- About 30 minutes, plus waiting for the letter
- Last checked
- Aug 27, 2026
Before you start, check you fit
- Your child is between 5 and 17.
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Ask your doctor for the letterStart here. This is the part that takes the longest.
Nevada Childhood Cancer Foundation needs 4 things from your doctor. Copy this message, or say it in person at the next visit.
Hi [doctor’s name], We’d like to apply to Nevada Childhood Cancer Foundation’s Camp Cartwheel. They offer camp activities for children affected by serious illness and their siblings, with medical care on site, and we want to be ready when the next round opens. They need 4 things from you: their part of the form, a letter, a note confirming the diagnosis, and a note confirming the diagnosis. Their form and instructions are here: https://nvccf.org/camp-cartwheel/ Could you write 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
Camper and family informationSession Preference (Please note that your preference is NOT a guarantee). Mark oneMark OneChild’s full nameDOBAgeSexAddress / City / ST / ZipPhoneParent E-mailChild resides with (mark one)Legal Guardian (Name)Father/Guardian’s Name / Phone / Address if different / Employer / Employer PhoneMother/Guardian’s Name / Phone / Address if different / Employer / Employer PhoneName of Sibling WHO IS ATTENDING CAMP / Relation / AgeEmergency Contact Name / Relationship to Child / Phone #1 / Phone #2Has your child been to any camp before? If yes, which camp & for how longIf your child has attended Camp Cartwheel before, what is his/her Nick NameWhat does your child like to do in his/her spare timeWhat is your child’s T-Shirt Size (mark one)Child health and wellness informationCHILD’S LEGAL NAMECurrent DiagnosisDate of Diagnosis (if child is in remission or a Well Child, please note it)Is your child in active treatmentIs your child on maintenance therapyCan your child swim (mark one)Where can your child swim (mark one)My Child has FOOD allergies toMy Child has MEDICATION allergies toMy Child has ENVIRONMENTAL allergies toPlease mark if your child has or has had any of the followingDoes your child use any medical devicesDoes your Child have mobility issues? If YES/Sometimes, please explainWill your Child need bathroom/toileting assistanceWill your Child require the use of any Durable Medical Equipment while at Camp? If yes, what equipmentDoes your child have any special dietary needs or restrictions? If YES, please listIs your child immunized? If NO, please tell us whyIf your child has been exposed to ANY communicable disease 1-3 weeks prior to camp, contact Jess AndersonWhat is your child’s current weightShow the rest of the form (3 more sections)
Child mental health and wellness informationDoes your child have a mental health historyDiagnosis / Date / Current or Past issue? / Is your child in active therapyDoes your child have any peculiarities or unusual habitsIf so, what do you and/or your child do to accommodate or soothe those habits so your child is comfortableAre there any other special needs your child has that Camp Cartwheel staff should know aboutParent/Guardian InitialsCamper InitialsCamp physical · physician pagesChild’s Name / DateAll of Child’s Medical Diagnosis / Date of Diagnosis / Is Child in Active TreatmentCurrent course of treatment / Last course of treatment / Date / Date therapy discontinued / Drugs administeredRecent operations or Serious illnessDescribe any physical disability and/or physical limitations involving any camp activityMay this child be allowed to swim in the camp lake? If NO, may this child swim in the camp swimming poolConvulsions/Seizures (type & frequency)Allergies / Impaired hearing / Impaired Vision / Neurological deficit or Muscular Problems / Cardiac Abnormalities / Blood PressurePHYSICAL EXAM — HEENT / Skin / Chest / Extremities / ABD / Cardiac / Neuro: N or ABNImmunizations: Up to date? If no, explainRecent contact with a contagious disease? If yes, please describeRecent Blood Count (within 4 weeks of Camp): H/H, WBC, DIFF, SEGS, BANDS, Platelets, EOS, MONOS, Other Lab AbnormalitiesName of Medication / Dose / Frequency / Time of dosingChild’s preferred method for taking his/her medicinePhysician’s Name (PRINT) / Date / Hospital or Doctor Office Affiliation / Office Phone NumberPhysician’s SignatureStanding orders, enrollment, and media consentsChild’s Name (Print) / Date / Parent Name (Print)Parent SignatureHealth and accident insurance coverage (required): upload copy of health insurance cardParent/Guardian’s InitialsParent/Guardian Name / Camper’s NameParent/Guardian Signature / DateName of Child / DOB / Street Address / City / ST / ZIP / PhoneParent/Legal Guardian Signature / Date / Parent or Legal Guardian Name (Print)Have ready
- Copy of parent or guardian photo identification.
- Copy of the child's health insurance card; families without insurance should notify NVCCF.
- Written documentation if the parent refuses the standing-order medication standard.
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Send it the way they ask
- For the published 2026 cycle, return the completed packet and attachments to the NVCCF Office, 3711 E. Sunset Rd., Las Vegas, NV 89120, by 5:00 p.m. April 30, 2026.
After you send
Do not submit the expired packet without confirming a current cycle. After acceptance, complete the medication-update list NVCCF emails before camp and follow medical check-in instructions. If you have not heard back in two weeks, write and ask whether it arrived.
