OSD Hearing Peers Summer Camp Registration

OSD HEARING PEERS SUMMER CAMP REGISTRATION-

2025
Click next to see camps and camp descriptions. This camp is lead in ASL, so campers must have a basic level of ASL to be able to communicate and understand directions from camp counselors. Registration will open February 28th, at 8:00am. Please come back then to submit registration.
Parent/Guardian Information
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Medical Information
Does the student take prescribed medications, related to medical conditions or allergies?

NoYes-I will indicate the medications on the prescribed medications form that will need ot be signed by their physician.
OSD EMERGENCY MEDICAL FORM

JUNE 2025-MAY 2026
Print the medication form below if your student takes prescribed medication. Return this to the OSD nurses through mail or osdshs@osd.oh.gov or osdsummercamps@osdb.oh.gov
*Medication/Physical Forms- You agree to complete and return the required physical form (if applicable) as part of the registration process as well as the prescribed medication form (if applicable). You can find the medication/physical forms on the summer camp event page or on our school website. You may also email OSDsummercamps@osdb.oh.gov if you need a copy.

Yes-I agree to return applicable physical/medication forms information by the due dateNo-All applicable physical and medication forms are due
Cause of hearing loss (if Known)

Ohio State School for the Blind / Ohio School for the Deaf 2025 Summer Camp Consent

The Ohio State School for the Blind (“OSSB”) and the Ohio School for the Deaf (“OSD”) are committed to providing the highest level of educational and recreational experiences for all students attending our 2025 ODBES Summer Camps. Initial each paragraph below to indicate your consent and understanding.
Activities Consent: Your child may participate in a number of indoor and outdoor activities. We will provide constant supervision while your child is on campus and attending OSSB/OSD Summer Camp to minimize the potential for physical injury. I consent and approve of my child participating in recreational, educational, and independent living skills activities at camp. *
Initials
Photo and Video Consent: I understand that OSSB/ OSD Summer Camp programs may take photographs or videos of participants at camp. I give permission for my child to be photographed and/or videotaped while they are at camp for public relations and educational purposes. I understand and give my permission that identifying information may be given to the media or used for publicized activities relating to my child’s participation at camp.*
Initials
Transportation Consent: I understand that portions of OSSB/OSD Summer Camp will take place in the local community. I give permission for certified camp staff to provide transportation using a state vehicle or school bus during these trips.*
Initials
Property Consent: I understand that OSSB/OSD is not responsible for lost, stolen or damaged personal property that my child may bring to camp.*
Initials
Camp Code of Conduct Consent: I agree that I have read through, understand and agree that my child and I will be held to the Camper Code of Conduct below. I also agree that I have reviewed the Camp Code of Conduct with my camper(s).*
Initials
Parents Name (Print)*

First NameLast Name
Parent/Guardian Camp Consent Signature*

Clear
Parent/Guardian Camp Consent Signature Date*

MonthDayYear
Date
Camper Code of Conduct Agreement:

1. I agree to pay attention and actively participate in camp activities.

2. I understand that there is no cell phone or text phone use during camp activities. Staff may ask students to leave in their book bag, locker, or dorm until camp is over, if needed.

3. I understand that my parent will be contacted to pick me up if my behavior becomes disruptive.

4. Illegal drugs, alcohol, theft, bullying (directly or through social media) or sexual behavior is not allowed at OSSB/OSD.

5. I will cooperate with camp staff.

6. I will wear clothing appropriate for camp at all times. Clothing with words or pictures that are related to drugs/drug use, tobacco, alcohol/alcoholic beverages, sexual references violence or bigotry are not permitted. Any attire or statement that may cause a hostile, intimidating, degrading, offensive, harassing or discriminatory environment is prohibited.
Camper Code of Conduct Agreement Student Signature:*

Clear
Date:*

MonthDayYear
Date

OSD Emergency Medical Form

June 2025-May 2026
Section 1: Student Information
Student's Name
Medcaid
Medicaid Billing #
Insurance Name
Insurance #

	Allergy	Reaction
Allergy 1
Allergy 2
Allergy 3
Allergy 4
Allergy 5

	Medication Name	Dose/How Much	Frequency/How often	Time of Day	Prescriber
Medication 1
Medication 2
Medication 3
Medication 4
Medication 5
Medication 6
Medication 7
Medication 8
Medication 9
Medication 10

OSD HEARING PEERS SUMMER CAMP REGISTRATION-

Parent/Guardian Information

Student Information

Camp Selection

Medical Information

OSD EMERGENCY MEDICAL FORM

Ohio State School for the Blind / Ohio School for the Deaf 2025 Summer Camp Consent

OSD Emergency Medical Form

Section 1: Student Information

Section 2: Emergency Contact Information

Section 3: Medical Treatment Authorizations

Section 4: Medical Information Details

Section 5: Dietary Needs

Over the Counter Medication Consent

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