Be sure to also complete the Health Form (below) as well as the Client Characteristic Form for EACH CHILD registering.

Please note: You will be required to upload your child’s Current Vaccination Records. If your child has any medical conditions we should be aware of or needs to take medications during camp, a Doctor’s note will also be required.

Health Form

  • For use by Camp Health Director (or emergency personnel)
  • Section I - Basic Contact Information

  • Section II - Insurance Information

  • Section III - Health History

  • Section IV - Allergies

  • Section V- Medications

  • For the health and safety of the children, NY State Department of Health guidelines are followed for the storage and administration of all medications brought to camp. This completed form must be on file BEFORE THE CLOSE OF CAMP REGISTRA T/ON in order for your child to attend camp. ALL MED/CA T/ONS SHOULD ARRIVE THE WEEK BEFORE CAMP OR ON THE CHILD'S FIRST DAY OF CAMP. All medications will be stored in a locked storage facility.
  • Prescribed medication must be kept in original container bearing the pharmacy label, which shows the date filled, the prescribing practitioner, the name of the prescribed medication, directions for use, any cautionary statements contained in such prescription (or as required by law), and the number of tablets or capsules in the container.
  • Provide complete name, dosage, and directions for each medication listed below. Be specific and include preferred time(s) of administration. MEDICATION INFORMATION must be provided. If not, the medication CANNOT be administered at camp.
  • Section VI - Authorization

 

Verification