HealtH History Form - West Suburban YMCA - westsuburbanymca 2025

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The document is a Health History Form for campers at the West Suburban YMCA, which must be completed by a parent or guardian. It requires detailed health information about the camper, including medical history, allergies, medications, and emergency contacts. Additionally, it outlines submission requirements for physical exams and immunization records. The form also includes sections for parental authorization, payment policies, photography consent, and liability release. Incomplete forms will be returned, and all necessary documentation must be submitted to ensure the camper's participation in camp activities.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the camper's name and home address at the top of the form. Ensure all fields are filled accurately.
Provide detailed information for both Parent/Guardian #1 and #2, including names, contact numbers, and email addresses. This ensures effective communication regarding your camper.
Complete the medical history section thoroughly. List any allergies, medications, and relevant health conditions. If there are none, indicate clearly to avoid confusion.
Fill out the emergency contacts section with authorized individuals who can be reached if needed. Include their relationship to the camper and best contact numbers.
Review all sections for completeness before signing at the bottom of the form. Remember that incomplete forms will be returned.

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