Language
  • English (US)
  • Medical Form

  • Insurance Information

  • Emergency Contact

    If parent/guardian is not available in an emergency, notify:
  •  -
  • Health History

    Please fill out if applicable:

  • Parent's Authorization

    The health history completed is correct and to the best of my knowledge. The person here-in described has permission to engage in all camp activities. In the event that I, or persons named above in case of emergency cannot be reached in an emergency, I hereby give my permission to the physician selected by the camp director to hospitalize and/or administer proper medical treatment for my child as named above. I also understand that I will be held responsible for the payment of my child's medical bills.

    I AGREE THE ELECTRONIC SIGNATURE BELOW WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

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