Health History Form - Cedardale / Groveland Summer Day Camp 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the camper's name, birthdate, sex, and age in the designated fields. Ensure accuracy as this information is crucial for health records.
3. Fill in the parent or guardian's details, including home address, phone number, and email. This ensures that you can be contacted in case of emergencies.
4. Provide emergency contact information for a second parent or another person. Include their cell phone and address to facilitate quick communication if needed.
5. Check any relevant health history boxes and provide approximate dates where applicable. This includes frequent illnesses or conditions that may affect your child's participation.
6. List any current medications along with instructions for administration. Remember to include written authorization from parents or guardians for medication administration at camp.
7. Review the Parent’s Authorization section carefully and ensure all permissions are granted as necessary before signing and dating the form.

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