Youth Camp Health & Confidential
Information Parental Forms
The Youth Camp Health forms along with Confidential Information Parental forms are free to download, modify and print for your youth camp (YC) or church.
The YC Health form is a must to have in case of an emergency
(camper gets injured) and you need his/her health information. There are
lots of very helpful and valuable information in the YC Health
The YC Confidential Information Parental form is also very
useful to assist you in getting to know the camper before camp begins.
If you are a Dorm Parent Volunteer, you'll find this form to be very
The YC Health is a mandatory form that includes:
- Camper's Name & Address
- Camper's Date of Birth and Age
- Parent's/Guardian's Address and Phone Numbers
- Alternate Contact's Name and Phone Numbers
- Family Doctor and Dentist Name and Phone Numbers
- Health Insurance and Pharmacy Information
- Parent's and Witness Signatures and Date
- Camper Medical History
- Medical Examination to be Filled out by Licensed Physician
- Physician's Signature and Date
The Confidential Information is a mandatory that form includes:
- Camper's well-liked nickname
- Camper's Date of Birth
- Living with Whom (phone number)
- Legal Guardian
- And other Personal & Confidential Camper's Information
- Parent's or Guardian's Signature & Date
These forms should be documented as to what time they are due back prior to youth camp. This will allow YC staff/volunteers to gather information on each camper and then be well-prepared and organized before camp begins. At a minimum, you should have your forms due to return to youth camp office at least 30 days prior to camp
If your church has their own youth camp and wants to protect their
campers, you will probably need one or both of the following forms...
Click on the link to download:
Youth Camp Health Form
YC Confidential Information from Parents 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.
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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Note: These sample forms are meant to serve as example forms and should not be construed as legal documents. Please contact a legal professional for legal language for your specific organization.
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Return to Youth Camp Page from YC Health.