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Required Forms

 

 


All participants must submit certain forms in order to attend their program.

Documents should be uploaded through the online Registration Portal. Please note that some programs may have additional form requirements.

**For Returning Campers from Summer 2016:**


No new Health Form is required. However, for children entering 7th grade in Fall 2017, we require an updated Immunization Record.

Going forward, all three parts of the Health Form will be required every 3 years. When your child enters 7th grade, we require an updated Immunization Record.

Virginia School Entrance Health Form

Download the Health Form

All campers must have a completed Virginia School Entrance Health Form on file prior to camp. Health Forms are valid for 3 years. This form includes:

1. The Health Information Form, signed by the parent

2. An Immunization Record, signed by the doctor

3. A Physical Examination Record, signed by the doctor

For New Campers:


Immunization Records must be up-to-date and Physical Examination Records must have been completed after June 1, 2016.

For Returning Campers from Summer 2016:


No new Health Form is required. However, for children entering 7th grade in Fall 2017, we require an updated Immunization Record.

Going forward, all three parts of the Health Form will be required every 3 years. When your child enters 7th grade, we require an updated Immunization Record.

Completed Health Forms for all Summer at Madeira programs must be submitted by June 1. Health Forms that are not fully completed will not be accepted. Summer at Madeira reserves the right to withdraw registration for campers whose forms have not been received by June 1, 2017. 

Medication Paperwork

If your child has been prescribed medication he/she will need to bring onto the Madeira campus, you must:

1. Complete an Emergency Care Plan for all EpiPens

2. Complete an Asthma Action Plan for all Inhalers

3. Complete a Medication Consent Form for all other medications

All prescription medications must come to camp in their original pharmacy container, with the prescribing label attached. Please make sure your medication has not expired, as it will not be accepted.

The Madeira Health and Wellness Center is fully stocked with over-the-counter medications; therefore campers should NOT bring medications (such as Tylenol, Advil, Benadryl, Claritin, Allegra or Zyrtex if taken as needed) to camp. The Health Center will contact the parents/guardian directly to obtain permission to dispense over-the-counter medications to the camper if necessary.

No camper may carry, keep, or dispense for herself/himself or any other camper any prescription or over-the-counter medications. 

Non-compliance with this policy may result in dismissal from camp.