The following are Required for your child to attend camp. Please be sure that they are complete before submission. These cannot be completed online. You can download the Required Forms PDF here. Paper copies are available upon request; please contact Corrine at firstname.lastname@example.org 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
Please keep a copy of completed records for your files, and bring them with you to registration (just in case).
Health 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.
You can send completed health forms via:
- Mail: Cornell Cooperative Extension at 34570 State Hwy 10, Ste 2, Hamden NY 13782
- Fax: (607) 865-6532
- Email: email@example.com
Prearrival Testing Requirement (5/21/2021)
Here is the link to book appointments: https://www.grapefruittesting.com/
Cornell Cooperative Extension / NYS 4-H Camps will require prearrival PCR testing of all staff and overnight campers, regardless of vaccination status.
Through the coordination of the NYS 4-H Office, we have contracted with Grapefruit Testing LLC to administer a testing program for our campers.
We want to make this as easy as possible for you. At your earliest convenience and before June 1st, please complete the web form to provide the address your testing kit should be mailed to (where will your camper be staying the week before camp?)
We know that you will have questions. We have included some basic information (including, no cost) as well as the contact information for Grapefruit Testing below.
4-H Camp Shankitunk Administrative Team
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.