Submit Required Health Form to Attend Camp: No Form, No Entry, No Refunds
PER DOH POLICY: Health Forms must be received prior to the first day of camp. If you have multiple campers enrolled, you will need to submit this form once for each child. Your health form must be from an examination within the last year.
Don't have a Health Form?
Download one here.
Adult Name
*
First Name
Last Name
Camp Location
Upper West Side @ Beit Rabban 89th & Bway
Brooklyn @ Saint Ann's 33 Clinton St.
Adult's Email
*
example@example.com
Child's Name
*
First Name
Last Name
Child's Age
*
When is their first day of camp this summer?
-
Month
-
Day
Year
Date
Do they have any allergies or important medical conditions?
Health Form Upload
*
Submit a PDF copy of the Health Form Here
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