2026 Summer Camp Medical Forms

2026 Summer Camp Medical Forms

YMCA of Greenwich Summer Day Camp
Camper:*

First NameLast Name
My child attended Summer Camp in 2025 and/or Vacation Camp in 2025/2026:*

YesNo
Camp Team:*

Purple Team (3-4 year olds - AS OF 6/1/2026)Red Team (5 year olds, Kinder, 1st Grade)Green Team (2nd & 3rd Grade)Orange Team (summer school half day)Blue Team (4th & 5th grade)LIT Program (6th & 7th grade)CIT Program (8th - 10th grade)
Medical Forms

YMCA of Greenwich Summer Day Camp
IMPORTANT: Daxko Child’s Profile and Authorized Pick Ups MUST be up to date at all times.

Daxko Link
Medical Forms MUST be submitted in addition to online registration.
Campers will not be able to attend camp until all documents are submitted.
- All forms can be found here:
  - Health Assessment Record Link
  - Medication Authorization Form Link
  - IPC Form Link
- Medical forms are due for ALL campers by June 1st, 2026.
Please verify the following BEFORE uploading documents:*
Attach Health Assessment Records:*

Cancelof
Attach Immunizations Records:*

Cancelof
Does your child need medications at camp? If yes, complete the checklist below BEFORE uploading documents.*

YesNo
Medication Authorization forms are required for ANY camper bringing prescription or over the counter medications to camp. Examples: inhaler, EpiPen, cough medicine, eye drops, etc.
- Medications must be submitted to the Camp Director BEFORE your child begins camp.
- Campers CANNOT carry medications on their person during camp hours. Do not send medicatinos in your child's backpack.
- Campers with medication listed on their physicals MUST submit medications unless detailed otherwise in an IPC form.
Please verify the following when submitting medications:
Attach Medication Authorization (if applicable):

Cancelof
An Individual Plan of Care form is designed to inform any staff interacting with your child on any special circumstances regarding their care OR any history/knoweldge you feel is relevant for us to know. This form is NOT limited to only medical conditions. The following examples would require an IPC form:
- Medications
  - Example: My child has an EpiPen for emergencies or my child needs to take their inhaler every day at 12pm.
- Allergies
  - Example: My child is allergic to ingesting peanuts, but not contact with peanuts or my child can ingest cooked eggs but cannot touch/eat raw eggs.
- Medical Conditions (including neurodivergency)
  - Example: My child has frequent nose bleeds or my child may experience seizures.
- Physical Limitations/Concerns (including hearing, speech and/or vision)
  - Example: My child easily dislocates their right shoulder, prevent any roughplay or my child is hard of hearing, speak to them directly to their face.
- Activity Limitations or Restrictions
  - Example: My child cannot swim because of epilepsy or my child is very nervous of heights.
- Behavior Habits/Concerns
  - Example: My child is easily distracted when traveling or my child yells/pushes when they are upset.
- Useful Verbal or Behavioral Cues (from home, school or doctors)
  - Example: My child likes a book when they feel overwhelmed or my child understands not to push when we say "XYZ" at home.
- ANY entry under the medical, behavior, dietary and/or religious camp registration sections of online registration requires an IPC form.
- ANY medication or medical condition indicated on the heath assessment record by a physician requires an IPC form.
  - If a medication/condition is no longer relevant, on the IPC form state the reason "ex: asthma" and "no longer relevant."
Does your child need an IPC? If yes, complete the checklist below BEFORE uploading documents.*

YesNo
Please verify the following BEFORE uploading an IPC:
Attach Individual Plan of Care Form (if applicable):

Cancelof
Does your child have an IEP? If yes, the YMCA requests information to be shared to enable us to provide the best camp experience for your child.*

YesNo
Attach Current IEP:

Cancelof
Should be Empty: