2025 Little Hoyas Summer Tennis & Swim Camp - Camper Health Form
Please submit one camper health form for each child.
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Email *
Camper Name *
Age *
1st Emergency Contact Name (Parent or Legal Guardian) *
1st Emergency Contact Phone# *
2nd Emergency Contact Name (Other Than Parent Above) *
2nd Emergency Contact Phone# *
Primary care physician or other provider of medical care? *
Primary Care Physician's Phone# *
1. Are there any health problems including physical, psychiatric, or behavioral problems of which we need to be aware? Yes/No? If yes, please explain below. *
2. Are there any medications, dietary restrictions, allergies, or special needs that we need to be aware of to ensure that your child's camp experience is positive? Yes/No? If yes, please explain below. *
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