Registration
Overnight camp registration with health form form template
Full camper intake on four pages: camper details, parents and emergency contacts, a complete health history, and a signed treatment authorization.
Fields
30 questions on 4 pages
Camper
- Camper first name *Short text
- Camper last name *Short text
- Date of birth *Date
- Camper ageCalculatedWorked out from the date of birth.
- Grade entering in fall *DropdownK · 1 · 2 · 3 · 4 · 5 · 6 · 7 · 8 · 9 · 10 · 11 · 12
- T-shirt size *DropdownYXS · YS · YM · YL · YXL · AS · AM · AL · AXL · A2XL
- Cabin mate requestShort textOne name. We do our best to honor requests.
Next page: Parents and emergency contacts
- Parent or guardian name *Short text
- Parent or guardian email *Email
- Parent or guardian phone *Phone
- Home address *Address
- Emergency contact name *Short textSomeone other than the parent above, reachable during camp.
- Emergency contact phone *Phone
- Emergency contact relationship *Short text
Next page: Health history
- Health insurance provider *Short text
- Physician nameShort text
- Physician phonePhone
- Date of last tetanus shotDateCheck your child's immunization record.
- Does the camper have any allergies? *Multiple choiceNo · Yes
- Allergies and reactions *Long textFood, medication, insect, and environmental — and what happens.Shown only when allergies answer is Yes
- Does the camper carry an epinephrine auto-injector? *Multiple choiceNo · YesShown only when allergies answer is Yes
- Will the camper bring medication to camp? *Multiple choiceNo · Yes
- Medication, dose, and schedule *Long textAll medication goes to the camp nurse at drop-off, in its original container.Shown only when medication answer is Yes
- Any dietary restrictions? *Multiple choiceNo · Yes
- Dietary restrictions *Long textShown only when diet answer is Yes
- Activity limitationsLong textAnything the camper shouldn't do, or needs help with.
- Swimming ability *Multiple choiceNon-swimmer · Beginner · Confident
- Immunization recordFileA photo or PDF of the current record.
Next page: Consent
- Medical treatment authorization *Terms agreementIf I cannot be reached in an emergency, I authorize staff to seek medical care for the participant, and I authorize licensed medical providers to give the treatment they judge necessary, including hospital admission, anesthesia, and surgery. I agree to pay for that care, and I allow the health information on this form to be shared with the providers treating the participant.
- Parent or guardian signature *Signature
Settings that go with it
- Session capacity
- Payment plans
- Several campers per checkout
- Required waiver
How to use it
Every field here is a standard TazForm field type, so the form loads in one click from the builder's “Start from a template” — then edit anything.
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