2025 Camp Participant Medical Form Logo
  • Camp Participant Medical Form

    This medical form must be completed for each camp participant and signed by a parent/guardian. Please return no later than two weeks before the start of camp. Participants will not be allowed to attend camp without this completed form. Only one form is necessary regardless of how many camps the participant is attending during the summer of 2025. A new form must be completed each year.
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    • Parent/Guardian Information 
    • Emergency Contact Information 
    • Recent Exam Information 
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    • Has the participant been treated for any medical problems in the following areas? 
    • Allergies 
    • Has the participant had any allergic reactions to the following? If yes, please list a specific and detailed reaction.

    • Medication 
    • Please list all medication the participant is currently taking (or upload a current medication list for the participant.

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    • Additional Information & Disclosure 
    • Medical Consent Agreement:

      In the event that Wonderfeet Kids' Museum cannot immediately reach the parent/guardian whose contact information is below after one attempted phone call, I give Wonderfeet Camp staff (or its agents) consent to make decisions about whether the child/ward needs immediate medical care and, if necessary, either take him/her or arrange for him/her to be taken (by emergency medical services) to the nearest emergency room to receive emergency medical treatment. I understand that, even if a parent/legal guardian is reached, Wonderfeet retains sole discretion as to whether to bring, or arrange for the child to be brought to, the nearest emergency room if Wonderfeet believes the child is in need of emergency medical care.

      I give permission to the medical personnel selected by Wonderfeet Camp staff (or its agents) to provide routine health care; to administer x-rays; routine tests and treatments; to release any records necessary for insurance or treatment purposes; and to provide or arrange necessary transportation for my child or ward. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by the Wonderfeet Camp staff to secure and administer treatment, including hospitalization, for my dependent.

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