3-5Year Old Forms

Please fill out all forms at least 48 hours before your Camper's first day. Filling out these forms in advance is essential to your camper's first day go smoothly. Please only fill out forms under the age group appropriate to your child.

3-5 y/o Camp Form

Camper Info

Camper First name

Camper Last name

Camper Date of Birth

Month

Day

Year

Address

Parent/Guardian Name

Email

Phone

Emergency Contact Name

Emergency Contact Phone Number

Snack and Lunch

We provide snacks throughout the day, but families are welcome to bring their own. We want to get a gauge of how many children will eat our provided snack! *

My camper will bring snack from home

My camper will eat camp snack

My camper will eat a combination of both

The snacks we provide include crackers, protein bars, fruit, veggies, pretzels, goldfish, fruit snacks, and apple juice

Lunch is not generally provided. However, we are happy to accommodate if needed. Does your child need a camp-provided lunch?

Yes, we would like camp to provide lunch

No, we will provide our own lunch

Other

Lunch would be different throughout the week, but some examples include sandwiches, pizza, pasta, and misc. snacks

We will be doing an activity called "Try-It Tuesday," where we bring in foods we could grow in the garden, try them, and spend time learning about that fruit/veggie. Do you give permission for your child to participate in Try It Tuesday?

Yes I give permission

No, I don't give permission

Other

Medical Information

Allergies (Food, medications, etc.)

Is Your Child Potty Trained?

Yes

No

If not, please elaborate on the support they will need from us!

Medical Conditions

Medications (Name and Dosage)

Anything Else We Should Know?

Permissions and Agreements

Medical Treatment Authorization (Please Type Initials)

I authorize the camp staff to provide first aid and, if necessary, seek emergency medical treatment for my child. I understand that I am responsible for any medical expenses incurred.

Participation in Activities (Please Type Initials)

I give permission for my child to participate in all camp activities, including but not limited to sports, crafts, and water activities. I understand that reasonable precautions will be taken to ensure the safety of all participants.

Photography and Media Release (Optional, please type N/A instead of initials if you do not consent)

I consent to the use of photographs or videos of my child taken during camp activities for promotional or educational purposes.

Liability Waiver (Please type initials)

I understand that participation in camp activities involves some level of risk. I release and hold harmless the camp organization, its staff, and affiliates from any liability for injuries, damages, or losses that may occur.

Acknowledgment and Signature

I have read, understand, and agree to the terms outlined in this consent form. By signing below, I confirm that the information provided is accurate and complete.*

Signature field is empty.

Date