Health History

If your child suffers from any of the following, please give as much information as possible about medication, treatments, therapy, etc., as well as the physical symptoms your child may exhibit in times of distress. Please also give details about how long they have been taking certain medications or receiving treatment..

This information will not jeopardize your child’s placement at camp. Please share as much information as possible.

Please note that camp is not the time for a “medication holiday.” Your child should stay on her regular medication schedule when she comes to camp.

Again, please be honest on this form. Your honest responses will help us give your child the best camp experience.