Carly Schroeder as Sandy Channing

Cody Linley as Eli Channing

Micah Alberti as Jake Mitchell

Brie Gabrielle as Hannah

Jillian Murray as Lex Mitchell

Zachary Abel as Chad

Sean Wing as T.J

Chloe Bridges as Layla

Brittany Finamore as Angela Smith

Bella Thorne as Young Angela

Courtney Biggs as Young Sandy

Barbara Bain as Sister Dolores

Dan Gauthier as Sheriff Zack Mitchell

Christopher Atkins as Mr. Channing

Julie Janney as Mrs. Channing

Marc McTizic as Doctor Warren

Mark Kemble as Father Michael

Sam Endicott as Clerk Nikolai

Charles Dierkop as Foreman Pete

Alex Mauriello as Cecelia

Robby D. Bruce as Young Jake

Joey Luthman as Young Eli

Kenton Duty as Young Chad

Sacha Edwards as Young Hannah

Kylie Chalfa as Young Lex

Johnny Latson as Young TJ

Saige Ryan as Young Layla

Ron Roggé as Maintenance Man

Ward Swan as Orderly

Roxana Ortega as Nurse Garcia

Fiona Goodwin as Nurse Patton

Jamieson Stern as Deputy Buck

Brian Graves as Pale Orphan Boy

Lauren Graves as Littlest Orphan Girl

Christina Gabrielle as Orphan Girl

Raven Lexy as Bikini Model (uncredited)

Roberto Quijano as Party Boy (uncredited)

Wencke Synak as Girl at Home Party (uncredited)

Lindsey Warm as Girl at house party (uncredited)