Kate Bosworth as Eva Piper

Hayden Christensen as Don Piper

Hudson Meek as Chris Piper

Bobby Batson as Joe Piper

Elizabeth Hunter as Nicole Piper

David Clyde Carr as Eva's Dad

Catherine Carlen as Eva's Mom

Dwight Yoakam as Lawyer Beaumont

Michael W. Smith as Cliff McArdle

Gianna Simone as Ms. Glenda

Michael Harding as Dick Onarecker

Rhoda Griffis as Principal Mary Nell

Mark Oliver as Police Officer

Michael Crider as Dr. Houchins

Marty Stonerock as Don's Mom

Cara Mantella as ER Nurse - Huntsville

Trevor Allen Martin as Barry Wilson

Sallye Hooks as Hattie Mann

Matt Bauman as Mike Wood

Matthew Cornwell as EMT

Jody Thompson as EMT Ambulance Driver

Geoffrey D. Williams as

Geordie White as ER Doctor Huntsville

Ashley Bratcher as Susan Long

Vanessa Cloke as Suzan Malden

Cara Mantella as ER Nurse Huntsville

Tang Nguyen as EMT

Harrison Powell as EMT Driver

Marshall Bell as Dr. Greider

Michael Crider as Dr. Houchens

Deena Beasley as Nurse

Fred Thompson as Jay B. Perkins

Gregory Alan Williams as Therapy Doctor

Jasper Polish as Christy

Rob Demery as

Tyler Case as Mark