Every individual attending a Young Life summer camp (campers, leaders, volunteers, adult guests, infants and toddlers, etc.) must submit a completed health consent and release 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:
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 attending. (Ex: Rockbridge)
|
The camp dates that you or
your child are attending. (Ex: June 16th - 21st)
|
Insurance company name, policy number, mailing address and phone.
|
Camper's health history
including an immunization record.
|
Online Health Form Instructions and Questions
If you have never completed an online health form, please Create an Account on the log in page.
Additional Questions
If you have any additional questions, please contact Camping Support directly by email or phone at 719-381-1844.