Medical Forms - Green Chimneys

Talent Show with a Therapeutic Twist

February 20, 2020

Summer Camp Medical Forms

Families must submit a medical history and current health exam results for each child before summer camp enrollment can be completed. Children without completed forms on file will not be permitted to attend camp.

Click on the appropriate form name to download:

If your child has any one of the following conditions and requires an EpiPen, Benadryl or other medical treatment, please complete the appropriate management plan below and submit along with the child’s medical form:

All signed forms must be received by May 1st.

For questions regarding medical information or requirements,
please contact Stacey Damiano at sdamiano@greenchimneys.org
or 845.225.8226 x606.

Sampson

Sampson is a mixed-breed sheep that came to Green Chimneys when he was just a few weeks old. He was bottle-raised by the children and, as a result of their love and care, has become one of the most trusting and gentle sheep at the barnyard. Each spring, Sampson is sheared to keep him comfortable through the hot summer months, and the children sell yarn made from his wool at the Green Chimneys Country Store.