Camper Health Form

Camper Health Form

Camper Health Form


RoCA_Covid_Camper_Screening _Form.pdf

RoCA is modifying our camp procedures and activities to allow for smaller camp groups and social distancing to keep a safe environment for everyone. Please check here for updates and schedules as they become available

Above, please find a summer camp health form.

There is a separate form for each child you have enrolled.

Complete, sign and return the form(s) by May 31, 2020.

A physician’s signature is not required on the Health Form. You must fill out the first page and sign it.

The requirements from the New York State Department of Health are a Parent’s signature and the immunization records. A photocopy is of the immunization record is acceptable and may be attached to this form. The Department of Health will be auditing these records, so please return your form no later than May 31, 2020.

If you need further assistance, please contact Amy at (845) 358-0877 ext. 18.