Forms

Description of Form

Required For

English Form

Participant Information / Emergency Record (PIR)

All Camps

Participant Information Record(PIR)

VA Health Form

Little Explorers Camps Only

School Entrance Health Form

List of Schools/Communicable Disease Reporting Agreement

Little Explorers Camps Only

List of Schools / Communicable Disease Reporting

Proof of child’s identity and age

Little Explorers Camps Only

Bring one of the following documents in person to the Registration Office (3700 South Four Mile Run Drive): certified copy of a birth certificate, birth registration card, or passport (current or expired).

Medication Authorization Form

Optional*
ONLY complete if child needs medication during program hours (EpiPen, Benadryl, etc.) Physician signature required.

Authorization for Medication

Toileting Care Permission Form

Optional*
If your child needs assistance with personal care or hygiene during camp.

Toileting Care Permissions Form

Seizure Action Plan

Optional*
If your camper has a history of seizures, complete an individualized plan to meet your campers individual needs during camp.

Seizure Action Plan

Diabetes Management Plan (MAT-D)

Optional*
If your camper has diabetes, complete an individualized plan to meet your campers individual needs during camp. Physician signature required.

Diabetes Management Plan

Participant Modification Information Form (PMI)

Optional*
If your camper needs a modification due to a disability (Physical, Cognitive, Social, Emotional/Behavioral) to successfully participate in the camp experience.

Participant Modification Information Form