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Reporting A Sick Camper

This report is only a communication.
We cannot guarantee that we will be able to reschedule or credit you in any way.

Please fill in the following:

 Camper Name(s): 
              Address: 
                    City: 
                 State:  
                    Zip:  

      Parent Name:  
                Phone:  
    Email Address:  

                             My camper has been injured or is sick, and the doctor has advised that they will be unable to participate in
                                  the camp activities during their scheduled week. 

                                  Please explain the injury or sickness:
                                 

                                  The doctor has indicated that my camper will be ready to participate in any of the following weeks:
                                             [The more weeks you give us as a choice, the better the chance that we will be able to reschedule.]
                                              Week 2 (June 6-10)    Week 3 (June 13-17)   Week 4 (June 27-July 1)    Week 5 (July 4-8)
                                              Week 6 (July 11-15)   Week 7 (July 18-22)     Week 8 (July 25-29)          Week 9 (Aug 1-5)
                                              Week 10 (Aug 8-12)



                            My camper missed two or more days during the camp week due to illness. (Please list the dates missed):
                                  

                                  Please explain the sickness:
                                 

                                  If possible, I would like for them to make up the days during the following weeks:
[The more weeks you give us as a choice, the better the chance that we might be able to schedule a make-up. However, the only time we are able to make up days would be if we had an empty spot in a later week or a group in a later week where there was an empty spot.  That does not happen very often.]

                                              Week 2 (June 6-10)    Week 3 (June 13-17)   Week 4 (June 27-July 1)    Week 5 (July 4-8)
                                              Week 6 (July 11-15)   Week 7 (July 18-22)     Week 8 (July 25-29)          Week 9 (Aug 1-5)
                                              Week 10 (Aug 8-12)

   Comments about this Report: