CURRENT HOURS: CLOSED FOR GENERAL SEASON; OPEN MAY 1, 2019

Day Camp Health & Consent Form

  • - Children registered for day camp must have a health form completed by a parent or guardian regarding allergies, chronic illnesses or medications.
    - One Health & Consent Form for each child participating in day camp must be completed, and submitted to Living History Farms prior to drop off at camp, or your child cannot attend camp.
    - A physical is not required to attend day camp.
  • Which camp are you attending?
  • Please enter a valid email address where we may contact you if we have any questions.
  • (other than parent/s, within a 30 minute drive)
  • If different from number above.
  • Please bring a daily dosage of medication. Counselors are not authorized to dispense or to monitor the taking of medications, but will remind campers to take them.
  • This question is required by the American Camp Association as part of Living History Farms' accreditation.
  • This question is included as part of Living History Farms' accreditation by the American Camp Association.
  • This question is included as part of Living History Farms' accreditation by the American Camp Association.
  • This question is included as part of Living History Farms' accreditation by the American Camp Association.
  • This question is required by the American Camp Association as part of Living History Farms' accreditation.
  • Authorization for Treatment

    I hereby give my permission to the medical personnel selected by the Day Camp Coordinator to order x-rays, routine tests, treatments, and necessary transportation for the child named above. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by the Day Camp Coordinator to secure and administer treatment, including hospitalization, for the child named above.
  • Signature typed here constitutes a legal and binding signature.
  • American Camp Association Accredited
    Living History Farms Day Camp program is accredited by the American Camp Association, the only nationwide organization that accredits all types of organized camps.
  • This field is for validation purposes and should be left unchanged.