Required Medical Forms for Attendance at a Day Camp

As part of your child’s attendance at this summer Residential Camp, there are some important medical forms that you are required to submit at check-in.  Please download these forms below and complete accordingly.

Note:  Due to strict department of health regulations, we cannot permit any child on camp until these completed documents are submitted to the Camp Health Director.


Form 1: Health History Form 

Every child attending a day camp is required to submit a Health History Form.  The form provides the past medical history, any allergies and any medications (please note the medication policy on the form). 



Form 2: Immunization Records

At check-in, parents are required to submit a record of your child’s current immunization history, for your convenience, a standard form is provided at the link below.  It does not require a doctors signature.  Additionally, we also accept copies of your child’s doctor provided form.   Immunization dates are required for diphtheria, haemophilus influenza type B, hepatitis B, measles, mumps, poliomyelitis, rubella, tetanus and varicella (chicken pox),or acceptable exception notification. If a child has not received immunizations due to a bona fide religious objection, it must be stated on this form.