Day Camp Forms

Please answer the questions below to determine which forms are required for your child’s 2019 Summer Programs.

Q Is your child attending a Summer Day Camp at one of our M-NCPPC Facilities or a Summer Playground/Xtreme Teens program at a neighborhood school?

Summer Day Camp Summer Playground

Q Does your child have health issues our staff should be aware of?

Yes No

Q Is your child exempt from immunizations due to health or religious reasons?

Yes No

Q Did your child attend a private/public school in the state of Maryland last year?

Yes No

Q Did your child attend a private/public school in the state of Maryland last year?

Yes No

Q Is your child exempt from immunizations due to health or religious reasons?

Yes No

Q Did your child attend a private/public school in the state of Maryland last year?

Yes No

Q Is your child exempt from immunizations due to health or religious reasons?

Yes No

Q Did your child attend a private/public school in the state of Maryland last year?

Yes No

It is the parent/guardian’s responsibility to deliver a full set of completed forms to each program location by the June 1st deadline. Children may not attend any session without completed information and forms on site. NO EXCEPTIONS.

Participant Profile Form

Day Camp Authorization Form

Health-Medication Form

Department of Health Immunization Certificate