Medical Forms - Green Chimneys

Learning, Adapting and Looking Ahead Helps Student Prepare for Future

April 19, 2022

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 AJ at ajohnson@greenchimneys.org
or 845.225.8226 x603.

Gracie & Reba

Donkeys Gracie and Reba have been residents of the farm since 1996 and are particularly valuable partners for the children because they offer immediate feedback on behavior. They are patient, shy and headstrong but because donkeys only acknowledge humans who appear calm, this pair helps children learn the skills necessary to approach them gently and quietly. Gracie and Reba also have an extraordinary bond and have difficulty being apart so students must keep this in mind, even for basic tasks such as walking them. If the donkeys lose sight of each other they will start calling to one another so students work together to make sure the pair can see each other for their entire journey outside.