Camp Forms Upload
These forms are required for your child to attend camp.
Camper's Information
Camper Name
*
Camp Attending?
*
Please Select
Camp Surfbird
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Health Care Information
Insurance Company
*
Policy Number
*
Subscriber
*
First Name
Last Name
Insurance Company Phone Number
*
Attach a copy of your insurance card; copy both sides so that the information is readable.
*
Name of Primary Care Physician
*
Phone Number
*
Name of Dentist
Phone Number
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Health History
Is the Camper up-to-date on all immunizations?
*
Yes
No
Attach immunization record or waiver
*
Is the Camper up-to-date on Covid-19 vaccinations?
*
Yes
No
Attach Covid-19 vaccination card
*
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Health-Care Recommendations Form
YOUR CHILD MUST HAVE A PHYSICAL WITHIN 12 MONTHS PRIOR TO CAMP. FORM 2 MUST BE COMPLETED AND SIGNED BY YOUR CHILD’S HEALTH CARE PROVIDER.
Print the CAMPER HEALTH-CARE RECOMMENDATIONS FORM for your health care provider.
Attach the completed and signed (by your health care provider) form
*
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SUBMIT
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