Camper Health Form

 

Your child's safety is our top priority.  ALL CAMPERS must have a completed health and permission to treat form on file before he/she can attend camp.  Please complete the form below.  

 
Please be aware that you need to fill out a seperate electronic form for each of your children if applicable.  BE AWARE THAT YOU CANNOT SAVE THIS FORM ELECTRONICALLY - please be prepared to complete the form in it's entirity (otherwise you will have to start over from the beginning).
     
All medications will be kept by the Camp Health Coordinator upon arrival and will be administered at the designated time.  Medications must be in the original container, and in the case of prescriptions, this container should bear the pharmacy label, name of medication, date filled, doctor’s name, prescription number and directions for use.
 
Please list any prescriptions or non-prescription medications that this child takes and whether it will be administered at home or at camp. 8-9yr old Leif Ericson campers have one overnight on the second Thursday of camp. Tepeetonka campers have two overnights on the first and second Thursday of camp.
 
***By clicking the "Submit" button at the end of the electronic submission form below, you give qualified medical personnel permission to provide medical treatment to your child if you cannot be contacted to give permission personally, by phone or otherwise.  You also give medical personnel/camp staff persmission to dispense medication to your child as prescribed.***   
 
1 Start 2 Parent Info 3 Emergency 4 Physician 5 Coverage 6 Medical 7 Autistic Campers 8 Additional 9 Complete