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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:

• Clearpool Camp Medical Form
• Hillside Camp Medical Form

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:

• Summer Camp Asthma Action Plan
• Summer Camp Diabetes Management Plan
• Summer Camp Food/Insect Allergy Action Plan

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.