Get Waiver/health History Form - Ymca Overnight Camping - Ymca Of ... - Camp Ymca

Completing the Waiver/Health History Form is essential for ensuring a safe and enjoyable experience at YMCA Overnight Camps. This guide will provide you with straightforward instructions to help you accurately fill out the form online.

Follow the steps to complete your Waiver/Health History Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out the camper's name, birth date, age, and sex at the top of the form. This information is crucial for identifying the individual.
3. Provide the names and contact information for two parents or guardians. Include work and cell phone numbers for both.
4. Fill out the family email address for communication purposes.
5. Designate an emergency contact, including their name and phone numbers.
6. In the immunization history section, indicate whether all immunizations are up to date and provide the date of the last tetanus shot if known.
7. Provide medical information including the family physician's name and phone number, along with the date of the last physical exam.
8. Fill in the medical insurance carrier and policy/group number.
9. Address any past or present medical conditions by checking 'Yes' or 'No' for relevant items, and ensure that required doctor's authorizations are attached.
10. Describe any allergies, medications, or dietary restrictions the camper may have. Be specific in your explanations.
11. Complete the waiver of liability section by carefully reading it, then provide your signature and the date.
12. If applicable, have a licensed physician complete the health examination section on the back of the form, including any necessary signatures.
13. After verifying all the information, save any changes, and choose to download, print, or share the completed form as required.

Complete your Waiver/Health History Form online today to ensure a smooth check-in at camp.