Health History Form for Youth Camp Staff

Health History Form for Youth Camp Staff free to download, customize...


This six page medical history form for Youth Camp staff will need to be filled out by every camp staff member before Youth Camp begins. This form will help your Health Center staff become familiar with the camp staff before they start the actual camp. This form also helps with such circumstances as who is allergic to what foods before they plan and schedule what meals are going to be served throughout the duration of the Youth Camp.



With God leading and guiding our youth camp volunteers/staff the outcome of Youth Camp is always a success, and the children are usually leaving camp asking how many more days until camp for the next year.

Youth Camp is a widely familiar ministry and a great ministry where spiritual leaders can give the youth a week, more or less, of unbelievable fun and at the same time allow them to grow by leaps and bounds spiritually.

The Youth Camp Staff Health form should be filled out prior to camp just like the campers. This medical history form includes:

  • Name
  • Date of Birth and Sex
  • Address, Country and Phone
  • Return Completed Form to: Name, Address and Phone
  • Email Address
  • Allergies
  • Nutrition
  • Chronic Concerns
  • Immunization History
  • Medication
  • General Physical History
  • Mental and Emotional Health Information
  • Paying for Health Care
  • Emergency Contact
  • Authorization for Health Care - Youth Camp Staff Signature and Date
  • Youth Camp Nursing Notes

Providing your medical information on this six page form will help ensure that you get provided better care, and will help you better understand your own physical capabilities.

The stress and effects of the pressure of Youth Camp can lead staff workers to increased illnesses resulting in absenteeism, low levels of motivation, poor job performance and eventually burnout. Poor staff health has a negative impact on organizations that must reorganize resources to compensate for absent camp staff, deal with the time and financial costs of staff turnover, and could experience reduced quality of service to campers. This is why this medical history form is so important to have filled out before Youth Camp even starts.

If you have a Youth Camp, you will probably need the following form...
Click on the link to download the medical form templates for Youth Camp below:

Youth Camp Staff Health History Form


If you need to modify this form, try the site: Free PDF Services. You can convert this Adobe file into a Word document free of charge and make the necessary changes.

Note: You will need Adobe Reader (the latest version is recommended) installed on your computer in order to save or open these forms.

You can get Adobe Reader free here (a new window will open so you can download it without leaving this page).

If you want to open the file in your browser window, just click on one of the links above. However, if you want to download the file to view later, then right-click on the link and choose "Save Target As" or "Save File As". Then select where you want to save the file on your hard drive.


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Need an Affordable, User Friendly Church Membership Database? Shepherdbase Could Be Just What You Have Been Looking For.

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  • Tracks Memberships, Contributions, Attendance, Etc.
  • Instant Access to Church Directory, Contributions, Attendance, Etc.

Special Offer!

Church Office Package

(Shepherdbase & Church Forms CD with 850+ forms, certificates, flyers...along with Free Bonuses)


Church Offering Envelope Templates

Very easy to download, modify and print on your blank envelopes.


Aplos - Church Accounting Software

Simple & Efficient!

Are you tired of complicated church accounting software? If yes, then you need to try Aplos!


Church Finances Accounting Book

Are you stressed about your church accounting? If yes, then you need this accounting book!


Instant Event Fundraising System

Does your church do any fundraisers?

If so, click on the link above to discover the Secrets to Earning Thousands of Dollars with Virtually ANY Fundraising Event!


Visitor Testimonials

*I do the tithes at the end of the year for a very small outreach in the city of Detroit. They had been paying thousands of dollars every several years trying to keep a database of their donors.

I searched last year for something less costly for them and came across your database (Shepherdbase). It is a blessing and so appreciated. Thank you for all your hard work and thank you for Giving To The Lord. Peacemakers Int. in Detroit on Chene street is another ministry you have blessed. - Charlene - U.S. *Disclaimer

*This website has been very useful for my ministries with Hospice, the Hospital and Human Services. I recommend this website to any church, ministry or agency that is supporting or ministering to people. God Bless You - Chaplain Dave - U.S. *Disclaimer

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*Thank You! You're heart for giving free resources and making things so affordable is truly a blessing. My Pastor always says: "What you make happen for someone else, God will make happen for you!" May God richly bless you and your ministry to us and so many others, enlarge your territory and bring financial blessings with good measure, pressed down, shaken together and running over!!! 10,000 Blessings! Leeanna - U.S. *Disclaimer

*Thanks for making this site available. I took over as secretary of our small church a few months ago, and I am having to create a lot of forms. This site is a blessing! - Vicki - U.S. *Disclaimer

*After years of frustration and being overcharged for Church Management software, I came across "Shepherbase" and all my problems were solved. *Disclaimer

This database:
  • 1. Tracks members and visitors
  • 2. Tracks contributions
  • 3. Organizes by both individual AND family
  • 4. Creates professional letters, relevant to church ministry
  • 5. Is easy to use
  • 6. Costs a mere fraction of other databases offering similar features. *Disclaimer
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Thank you Shepherdbase!
Brandt *Disclaimer
Anchorage, Alaska

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