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2021 Camp Medical Form - Year 10
Please complete the following Medical Form for your child, if they will be attending camp this year.
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* Indicates required question
Email
*
Your email
Child's Name
*
Your answer
Parent Name (completing this form)
*
Your answer
DIETARY INFORMATION
Please select a true statement
*
Choose
My child has no diet restrictions (Move on to next section)
My child has a food anaphyalxis allergy and restricted diet
My child has a food allergy which is not life threatening
My child has a diet restriction which is not an allergy
2. My child has a food anaphylaxis allergy that is caused by (please list food)
Your answer
3. My child has a food allergy which is NOT anaphylaxis caused by (please list food)
Your answer
4. My child has a diet restriction which is not an allergy. (please list food)
Your answer
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