Medical Form

A completed medical form is required. We can not admit your daughter to camp without a completed medical form. Bring enough medication to last the entire time at camp. Keep it in the original packaging/bottle that identifies the prescribing physician (if a prescription drug), the name of the medication, the dosage, and the frequency of administration. Bring medications to check-in to be reviewed by nurse. Any changes to this form should be reported to camp health personnel upon arrival.

  • Contact Info

  • MM slash DD slash YYYY

  • Medical Form

  • Drop files here or
    Max. file size: 50 MB.
      Upload a scan of a school/camp health form from your child’s healthcare provider. Forms must include an immunization history.

    • Insurance Info

    • Drop files here or
      Max. file size: 50 MB.
      • Drop files here or
        Max. file size: 50 MB.
        • MM slash DD slash YYYY

        • Other Info

        • Parent/Guardian Authorization

        • This health history is correct and complete as far as I know, and the person named above has permission to participate in all camp activities except as noted by me or the examining physician. I hereby give permission to the medical personnel selected by the camp directors to administer medications, order x-rays, routine tests, hospitalize, secure proper treatment for, order injection, anesthesia for surgery; to release any records necessary for insurance purposes for the person named above. This completed form may be photocopied for trips out of camp.
        • MM slash DD slash YYYY