6007 - Camping Health, Consent and Release Forms

Every individual attending a Young Life summer camp (campers, leaders, volunteers, adult guests, infants and toddlers, etc.) must submit a completed health and consent form, providing the camp with important medical and insurance information in the event of an accident or illness. This form must be completed before departure for camp. 


To complete this form you will need:


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Home Area

Camp Name

Camp Dates​

Health Insurance

Health History

Young Life area number provided by your trip leader. You can also search by zip code.​​
(Ex: VA37)

Young Life Camp​​ that you or your child is attendin​g.​
(Ex: Rockbridge)

The dates of the camp week that you or your child is attending.​
(Ex: June 16th - 21st)

​Insurance company name, policy number, mailing address and phone.​
Camper's ​health history 
including an immunization record.

Click above to access the online Health, Consent and Release Form​
If you have never completed an online health form, please Create an Account on the log in page​
​​​Specialized Summer Forms​​


​Fall/Winter/Spring Health Forms​







All attendees for a fall, winter or spring Young Life trip must complete the Young Life Consent / Release Form.
This form must be printed, completed a​nd submitted to your Young Life leader.* 
If your trip is longer than 72 hours, you must print, complete and submit this full version form to your Young Life leader.​

Additional Questions

 If you have any additional questions, please contact Camping Services directly by email or phone at 719-381-1844.