• Medical and Health History

    Required for campers at all sessions at Elks Camp Grassick.
  • Please Note:  All individuals accepted for attendance at Elks Camp Grassick must receive a physical examination by a doctor before coming to camp.  The Medical Physical Information form should be filled out completely by a physician and sent to camp prior to the individual’s arrival at camp if possible.  Attachment of the physical examination report would be beneficial during the screening and selection process, but if the cost of such a physical examination is a concern or if an individual’s physical is typically scheduled closer to camp times, this form does not need to be filled out until after you know that this person has been accepted and it can be sent later or brought with the individual at check in.

    Lice Check:  No lice check form will be required.  If the individual or someone in the household has been exposed to lice prior to attending camp, please inform staff immediately.  Lice checks may be done at check in.  Thank you!

  • Medical Form/Health History

    To be completed by the parent, guardian, or caregiver. This portion must be completed and submitted to Camp Grassick with the application.
  •  - - Pick a Date
  • Epilepsy and/or Seizure History

  • Allergies & Dietary Restrictions

  • Vaccines

  • Mental Health

  • Assistive Devices

  • Medications

    Note: Please bring medication to camp in their original containers with legible prescription labels or pre-packaged by a pharmacy. If medications are packed in med planners, please bring a list of medications, dosage and times.
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  • Health History

  • This form should be submitted to Camp Grassick with the application.  The Medical Physical Exam form can be completed and submitted later or brought with the camper at check in. If you have any questions, please call Camp Grassick at 701-327-4251

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