Nurse Registration - Camp Milton 2026
  • Nurse Registration - Camp Milton 2026

  • Camp Milton exists to provide transformative summer camps for children and youth with neuromuscular diseases.

    This is the form for NURSE registration for Camp Milton June 8th through 13th, 2026 at Tall Oaks Conference Center in Linwood, KS. We are so grateful to you for signing up for camp; this would not be possible without YOU!!

    Questions about Camp Milton? Visit our website at www.CampMilton.org or email us at Info@CampMilton.org!

    We will not require a COVID test unless symptomatic.

    Nurses are needed at camp starting Sunday, June 7th. As we get closer to camp, we will let you know what time. Please plan on an afternoon arrival. 

  • Nurse Info

  • Date of Birth*
     - -
  • Format: (000) 000-0000.
  • Emergency Contact Info

    This is information for who we should contact in the case of an emergency situation.
  • Format: (000) 000-0000.
  • Nurse Information

  • T-Shirt Size - If your shirt size is not an option (including youth sizes), please list your size in the "Other" option. *
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  • Is this your first year at Camp Milton?*
  • Medical Information

  • Do you have health insurance?*
  • Format: (000) 000-0000.
  • Do you have any known allergies?*
  • Do you have any dietary restrictions?*
  • Have you seen a psychiatrist, psychologist, or other mental health professional in the last 3 years?*
  • Have you been exposed to any communicable diseases in the past 6 months?*
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  • Do you take any medication?*
  • Have you had any operations in the past 6 months?*
  • Nursing Qualifications and Licensure Information

  • License Expiration Date*
     - -
  • Is your Basic Life Support up to date?*
  • BLS Expiration Date*
     - -
  • Do you carry malpractice insurance?*
  • Acknowledgement of Nurse Responsibilities

  • Should be Empty: