Camp medical form

Please complete this form for every camper in your family.

Camper

First name *

Last name *

Gender

Date of birth

Allergies

Nuts Peanuts Eggs Insect bites/stings Seafood

Other

Medical conditions

Astham Incontinence Hearing disorder Diabetes Hyperactive Epilepsy Visual disorder

Other

Medications *

Medication

Dosage

Frequency

Account owner

You will receive a confirmation by email.

First name *

Last name *

Email *

Mobile

Other parent

Relationship

First name *

Last name *

Email *

Mobile

Emergency contacts

Relationship

First name *

Last name *

Email *

Mobile

Can pickup child