* Required fields.
* Camper's Name
* Date of Birth
Are there any individual problems of an emotional or social nature which you anticipate based on previous behaviors? Yes No
Sleeping Habits
Eating
Allergies
Health / Medication
Any activities to be restricted?
Ever diagnosed with ADD or ADHD? Yes No
If yes, and not taking medication, please explain
* I understand that my child, when taking a medication, will receive the medication in the manner the camp deems best. Meds are given in the dining hall at meals, late afternoon in the infirmary, and at the cabins at bedtime. Bedtime meds may be brought by the nurses to our adult staff to give to your child.
Should you have any questions or your child needs any special distribution or consideration, please contact us immediately.
* Check here to assure us that all of the above information is correct and you that you understand the camp procedures. We will only use this information with appropriate staff in the best interests of your child. Thank you.
