Medical Form/Health History
Please Note:  All individuals accepted for attendance at Elks Camp Grassick must receive a physical examination by a doctor before coming to camp.  The Medical Physical Information form should be filled out completely by a physician and sent to camp prior to the individual’s arrival at camp if possible.  Attachment of the physical examination report would be beneficial during the screening and selection process, but if the cost of such a physical examination is a concern or if an individual’s physical is typically scheduled closer to camp times, this form does not need to be filled out until after you know that this person has been accepted and it can be sent later or brought with the individual at check in.
Lice Check:  No lice check form will be required.  There is a space on the physical form that asks if the individual is free of lice and nits.  If the individual or someone in the household has been exposed to lice prior to attending camp, please inform staff immediately.  Thank you!
Sign in to Google to save your progress. Learn more
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy