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2023 6th Grade Camp - Camp Health Form

Please complete the form below. Required fields marked with an asterisk *

If this is the only form you are being asked to fill out, then you can close your browser after clicking "submit" for this form. You DO NOT need to refill out all the rest of the forms.

Student's First Name*

Answer Required

Student's Last Name*

Answer Required

Does your child attending 6th grade camp ever use an inhaler?*

If yes, please fill out the online medication form and send an inhaler to camp with a paper medication slip filled out in a Ziploc bag. Make sure that the inhaler is not expired.

Answer Required

Does your child have any food allergies that camp needs to be aware of?*

If none, please type 'none'.

Answer Required

Does your child have any nut allergies that camp needs to be aware of? *

If none, please type 'none'.

Answer Required

Are there any other health concerns that the camp staff and ICD teachers need to be aware of?*

If none, please type 'none'.

Answer Required

Does your child sleep walk or have any other reasons to be placed on a bottom bunk?*

If none, please type 'none'.

Answer Required

ADDITIONAL WAIVER FOR CAMP ACTIVITIES

ONLY COMPLETE THIS WAIVER IF YOU DO NOT WANT YOUR CHILD TO PARTICIPATE

The Camp Lakewood Waiver covers horseback riding, wall climbing, zip lines, and the challenge course. If you choose to have your child NOT participate in any of these activities, please initial below. They will then sit the activity out. If you are planning for your child to participate, you may leave the fields below blank.

Horseback riding- helmets are required- I do not want my child to horseback ride.

Parent Initials

Answer Required

Wall climbing- helmets and harnesses required-I do not want my child to wall climb.

Parent Initials

Answer Required

Zip lines- helmets and harnesses are required - I do not want my child to zip line.

Parent Initials

Answer Required

Confirmation Email

Confirmation Email *

Email Required