Medical Emergency Form

Medical Emergency Form

A separate Medical Emergency Form must be completed for each applicant. This form should be submitted with your Registration Form.

Camper's Personal Information

Emergency Contacts

List two emergency contacts.

Camper's Physician Information

Camper's Dentist Information

Camper's Insurance Information

Medication Information

LIST MEDICATIONS FOR: All Jr. Campers (6-12 years of age) | All Sr. Campers (12-17 years of age) | All Hyphen Campers (high school graduates through 17 years of age)