Children's Camp Safety Plan Form
Complete this form to provide essential safety and emergency information for your child’s participation in camp. All details help us ensure a safe and enjoyable experience for every camper.
Camper's Full Name
*
First Name
Last Name
Camper's Age
*
Primary Guardian Name
*
First Name
Last Name
Primary Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Primary Guardian Email Address
*
example@example.com
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Does the camper have any allergies or dietary restrictions?
*
No
Yes (please specify below)
List any allergies or dietary restrictions (leave blank if none):
Does the camper require medications or special care instructions?
*
No
Yes (please specify below)
List any medications or special care instructions (leave blank if none):
Authorized Pickup Persons (full names of adults authorized to pick up the camper):
*
Submit Safety Plan
Should be Empty: