Bolles Swim Camp 2026 - Medical Form Collection
Please complete this form to provide essential camper and guardian information, medical consents, and upload health insurance documents.
Camper and Parent/Guardian Information
Camper First Name
*
Camper Last Name
*
Parent/Guardian First Name
*
Parent/Guardian Last Name
*
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Camp session(s) attending (select all that apply):
*
Team Boarding Experience (May 28 - June 28)
ELITE I (May 31 - June 6)
ELITE II (June 6 - June 13)
ELITE III (June 13 - June 22)
JR ELITE I (June 1 - June 5)
JR ELITE II (June 8 - June 12)
JR ELITE III (June 22 - June 26)
Camper Date of Birth
*
-
Month
-
Day
Year
Date
Consent to Treat
Camper Name
*
First Name
Last Name
Parent/Guardian Digital Signature
*
Date
*
-
Month
-
Day
Year
Date
Over the Counter Medication Authorization
Ibuprofen
*
Approve
Decline
Acetaminophen
*
Approve
Decline
Antacids
*
Approve
Decline
Allergy medication
*
Approve
Decline
Cough drops
*
Approve
Decline
Antibiotic ointment
*
Approve
Decline
Hydrocortisone cream
*
Approve
Decline
Sunscreen
*
Approve
Decline
Electrolyte drinks
*
Approve
Decline
Parent/Guardian Digital Signature
*
Date
*
-
Month
-
Day
Year
Date
Insurance Card Uploads
Upload Front of Insurance Card
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Upload Back of Insurance Card
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Submit
Submit
Should be Empty: