CURRENT HOURS: CLOSED FOR GENERAL SEASON; OPEN MAY 1, 2018

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 no later than two weeks after registering, or we will be unable to process your registration.
    - A physical is not required to attend day camp.
  • You'll find the camp code listed under the camp description.
  • 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.