Health History

Camper Information
Child's Information
Please click below on the week(s) of camp(s) your child is registered to attend
Week #1
Week #2
Week #3
Week #4
Week #5
Week #6
Week #7
Week #8
Week #9
Week #10
Team Week
Emergency Contact Information
2nd Emergency Contact Name OTHER than listed above:
Health Information
Immunization Information
All campers who reside outside of the United States, must provide our office with a completed DHMH-896 form (record of vaccination or immunization) 7 days prior to their first day of camp.
Click here to Print exemption form
This form will need to have the child information filled out at the top of the first page. Then at the bottom of the first page there is a place to fill out for excemptions. 
Your Information
Name of person completing this form:
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