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.
- 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)
- Acknowledgement of Risk
- 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.
You can send them via mail, fax, or email. See contact us for details.
Immunization Requirements Update
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. At this time, we are still in the process of reviewing all health forms submitted for enrolled campers. If you have any questions, please reach out to us.
You must submit your paperwork prior to arrival at camp. If you cannot produce your forms, including proof of required immunizations, your child will not be allowed to remain at camp until required paperwork is present 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.