This form is used to gather pertinent information in the case of an accident or illness at camp. It includes medical history, physical examination and medical insurance information.
*Please make copies of your completed health form for your own records and for the bus ride home from camp. Due to privacy regulations, camps are unable to fax or send copies of the completed health forms.
This form was updated to:
Available in English and Spanish.
Parent or guardian needs to complete the form and return it to the trip leader prior to the beginning of the trip. Please contact (719) 381-1844 with questions.
Additional Specialized Audience Forms
Spanish Version Infant and Toddler Spanish Version