* Required

Camper Emergency Form

Camper Information

*For Summer Camp: list rising grade​​​​​​

Parent/Guardian Information

Emergency Information

List TWO (required) emergency contacts, at separate addresses, in the event that the parents/guardians listed above cannot be reached. These contacts are authorized to transport the camper.

Transportation

Current transportation includes Parent(s)/Guardian(s), Emergency Contacts​​​​
Never, under any circumstances​​​

Medical Information

Does your camper have any special medical conditions (health, physical restrictions, learning, medications, allergies, etc.) that we should know about to ensure a positive camp experience?​​

Additional documentation may be required. Visit the 'Medical Forms' tab below.

If yes, an EpiPen must be provided to the Camp FA Nurse or Director on the first day of camp.​​​​​​
If yes, an Inhaler must be provided to the Camp FA Nurse or Director on the first day of camp.​​​​​​​