Beestera Camp - Massachusetts Health Form Submission

Beestera Camp - Massachusetts Health Form Submission

Please fill in the information below and then submit the required forms. If you have more than one player attending camp, please fill out multiple forms.
Player First Name*
First Name
Player Last Name*
Last Name
Camp Location*
Camp Week
Ex: 7/27 - 7/31
Parent Name*

First NameLast Name
Best Email Address*
example@example.com
Best Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Health Forms Required

Campers will not be allowed to participate without completing and uploading the necessary forms below.
Please download each form and upload them as a .pdf below.
1. Download and upload the MA Health & Release Form OR upload a Physical Examination dated within 18 months of the start of camp.
2. Upload a complete Immunization Record - to see a list of required vaccines, click here
3. Download and upload the Prescription Medication Records Form
  - Only needed if the camper will be taking prescription medications while at camp.
Upload MA Health & Release Form OR a Physical dated within the last 18 months*

Upload either form
Cancelof
Notes about MA Health & Release Form or Physical
Upload Immunization Record*

See above for required vaccines
Cancelof
Notes about Immunization Record
Upload Prescription Medication Record (If taking medication at camp) - A separate form must be filled out for each medication.

Cancelof
Notes about Prescription Medication Record
I grant permission for my child to be photographed and/or recorded during Beestera Soccer activities. I understand these images or videos may be used for promotional purposes including social media, website content, and marketing materials.
Please initial in the box
If the camper needs sunscreen, do you permit camp staff to provide it and, if needed, help apply it?

YesNo
Click the link below to see the the Meningococcal Disease Commonly Asked Questions. Then sign below that you have read and understand the risks.

Meningococcal Disease Commonly Asked Questions
I have read and understand the Meningococcal Disease document. I understand that I am responsible for providing accurate medical information and required documentation for my child. I consent to their participation in camp and acknowledge that Beestera staff will act in their best interest based on the information provided.*
Submission's Date

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Insert Today's Date
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Beestera Camp - Massachusetts Health Form Submission

Health Forms Required