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:
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 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.
All attendees for a fall, winter or spring Young Life trip less than 72 hours must complete the Young Life Consent / Release Form.
This form must be printed, completed and submitted to your Young Life leader.*
Instructions and Questions
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 |
Additional Questions
If you have any additional questions, please contact Camping Services directly by email or phone at 719-381-1844.