Health Requirements

2024 Requirements

The following are Required for your child to attend camp. Please be sure that they are complete before submission. This year, our required forms can be completed during registration through Ultracamp. If you anticipate an issue with completing these forms online, please contact Corrine at or call (607) 865-6531. 

  • HF1 & HF2: Parent/Guardian forms (Emergency contact, permission to treat, health history, etc)
  • HF3: Physician Form
  • Copy of last Physical
  • Copy of Immunization Record (see below for additional information)
  • Assumption of the Risk and Waiver of Liability Relating to Camp & Coronavirus/COVID-19
  • Code of Conduct
  • Photo Release
  • Refund Policy Acknowledgement


Required forms are due by June 1st for screening purposes. Upon screening, if it is discovered that an item is missing or incomplete we will attempt to contact you by phone. Please submit missing or completed paperwork as soon as possible.


Required forms will be submitted through your personal Ultracamp account

Immunization Requirements

Dear Parents/Guardians, As of June 13, 2019, the New York State Legislature passed, and Governor Andrew Cuomo signed a major update to Public Health Law 2164 which only allows for medical exemptions from immunizations only. Accordingly, Cornell Cooperative Extension/4H Day and Overnight camps will no longer be able to accept any exemption other than a doctor issued medical exemption for vaccinations to help ensure public health and safety. If you have any questions, please reach out to us.

You must submit your paperwork by June 1st. If you cannot produce your forms, including proof of required immunizations, your child will not be allowed to remain at camp and you may forfeit your spot.

Some additional Background information:

Subpart 7-2 of the New York State Sanitary Code requires camps to maintain immunization records for all campers which includes dates for all immunizations against diphtheria, haemophilus influenza type b, hepatitis b, measles, mumps, rubella, poliomyelitis, tetanus and varicella (chickenpox). The record must be kept on file for every camper and updated annually. Camps should also maintain current, complete immunization records for all camp staff.

New York State Immunization Requirements