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Camp U of T Health Information 2018
This form is ONLY required if your child has a medical condition which you would like camp staff to know about.
Questions about specific medical conditions are not mandatory, please answer only those that would apply. All information on this sheet is confidential. There are 2 pages to this form.
All camps participate in physical activity daily.
We recommend speaking with your child's physician prior to the start of camps to discuss any issues or concerns.
Copies of this document will be kept with the instructor of your child’s camp at all times as well as at the Camp Desk and in the Pool Office. You have the option on the second page to upload a photo or other documents to the health information file.
Please ensure you click "Finish" at the bottom of the SECOND page
to complete the process and have it submitted to us automatically. You may save and exit at any point and resume where you left off at a later time by re-opening the survey.
*
Child's First Name
*
Child's Last Name
*
Child's Age
Select:
4
5
6
7
8
9
10
11
12
13
14
15
16
*
Form completed by
*
Relationship to camper
*
Date camp starts
If your child is attending more than one week please select all that apply
March 12, 2018
July 3, 2018
July 9, 2018
July 16, 2018
July 23, 2018
July 30, 2018
August 6, 2018
August 13, 2018
*
Camp(s) registered for
If your child is attending more than one camp please select all that apply. Please note, only one camp per drop down list may be selected.
Select:
Achieve Camp for Girls
Aquatics MultiSport
Badminton
Basketball or Basketball Skills
Beach Volleyball
Cheerleading
Dance + Movement
Fencing
Field Hockey
Flag Football
Gymnastics Preschool or Kids
Leadership 1
Leadership 2 - LIT
Mighty Adventure 6 - 7
Mini Adventure 4 - 5
Mini U Animation, Stop - Motion
Mini U Around the World
Mini U Business
Mini U Digital Media, level 1 or 2
Mini U Health and the Human Body
Mini U Kinesiology
Modern Pentathlon
MultiSport 6 - 7
MultiSport, 8 - 9
MultiSport, 10 - 12
MultiSport, 12 - 14
NOT Sports Camp
Soccer
Speed, Power & Agility
Track & Field
Ultimate
Volleyball or Volleyball Skills
Select:
Achieve Camp for Girls
Aquatics MultiSport
Badminton
Basketball or Basketball Skills
Beach Volleyball
Cheerleading
Dance + Movement
Fencing
Field Hockey
Flag Football
Gymnastics Preschool or Kids
Leadership 1
Leadership 2 - LIT
Mighty Adventure 6 - 7
Mini Adventure 4 - 5
Mini U Animation, Stop - Motion
Mini U Around the World
Mini U Business
Mini U Digital Media, level 1 or 2
Mini U Health and the Human Body
Mini U Kinesiology
Modern Pentathlon
MultiSport 6 - 7
MultiSport, 8 - 9
MultiSport, 10 - 12
MultiSport, 12 - 14
NOT Sports Camp
Soccer
Speed, Power & Agility
Track & Field
Ultimate
Volleyball or Volleyball Skills
Select:
Achieve Camp for Girls
Aquatics MultiSport
Badminton
Basketball or Basketball Skills
Beach Volleyball
Cheerleading
Dance + Movement
Fencing
Field Hockey
Flag Football
Gymnastics Preschool or Kids
Leadership 1
Leadership 2 - LIT
Mighty Adventure 6 - 7
Mini Adventure 4 - 5
Mini U Animation, Stop - Motion
Mini U Around the World
Mini U Business
Mini U Digital Media, level 1 or 2
Mini U Health and the Human Body
Mini U Kinesiology
Modern Pentathlon
MultiSport 6 - 7
MultiSport, 8 - 9
MultiSport, 10 - 12
MultiSport, 12 - 14
NOT Sports Camp
Soccer
Speed, Power & Agility
Track & Field
Ultimate
Volleyball or Volleyball Skills
Select:
Achieve Camp for Girls
Aquatics MultiSport
Badminton
Basketball or Basketball Skills
Beach Volleyball
Cheerleading
Dance + Movement
Fencing
Field Hockey
Flag Football
Gymnastics Preschool or Kids
Leadership 1
Leadership 2 - LIT
Mighty Adventure 6 - 7
Mini Adventure 4 - 5
Mini U Animation, Stop - Motion
Mini U Around the World
Mini U Business
Mini U Digital Media, level 1 or 2
Mini U Health and the Human Body
Mini U Kinesiology
Modern Pentathlon
MultiSport 6 - 7
MultiSport, 8 - 9
MultiSport, 10 - 12
MultiSport, 12 - 14
NOT Sports Camp
Soccer
Speed, Power & Agility
Track & Field
Ultimate
Volleyball or Volleyball Skills
Anaphylaxis + Severe Allergies
Additional questions will appear if you answer yes.
Does your child have a severe allergy or anaphylaxis?
No
Yes
Asthma
Additional questions will appear if you answer yes.
Does your child have asthma?
No
Yes
Seizures
Additional questions will appear if you answer yes.
Does your child have seizures?
No
Yes
Diabetes
Additional questions will appear if you answer yes.
Does your child have diabetes?
No
Yes
Please continue to page 2 for other medical conditions and information about medications given at camp.
You must click the FINISH button at the bottom of page 2 in order to submit this form.