Evening Camp – Reporting A Sick/Injured Camper

Evening Camp – Reporting A Sick/Injured Camper

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

Please fill in the following:

[contact-form to=’[email protected]%26#x002c;[email protected]’ subject=’Evening Camp – Sick or Injured Camper’][contact-field label=’Camper Name (Please enter Complete Name):’ type=’name’ required=’1’/][contact-field label=’Address (Street%26#x002c;City%26#x002c;State%26#x002c;ZIP):’ type=’textarea’ required=’1’/][contact-field label=’Parent Name:’ type=’name’ required=’1’/][contact-field label=’Phone:’ type=’text’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’My camper is currently registered for the following weeks: (Camp Week Numbers/Dates listed below.) Request must be at least two weeks before this camp week date.’ type=’radio’ required=’1′ options=’Explosion 1 (June 6-10),ETC 2 (June 13-17),Breakout 3 (June 20-24),ETC 4 (June 27-July1),Breakout 5 (July 4-8),Explosion 6 (July 11-15),GetAway Camp (July 17-23), Breakout 8 (July 25-29),ETC 9 (Aug 1-5)’/][contact-field label=’My camper has been injured or is sick. The doctor has advised that they will be unable to participate in camp activities during their upcoming scheduled week.’ type=’radio’ options=’Yes,No’/][contact-field label=’Please explain the injury or sickness’ type=’textarea’/][contact-field label=’My camper missed two or more days during their camp week due to illness or injury. If possible%26#x002c; I would like for them to make up the days in a week this summer. (The only time we are able to make up days during a summer is if we have an empty spot in a later week%26#x002c; which doesn%26#039;t happen very often. If we are unable to allow you to make up the days%26#x002c; we may be able to credit you with one or more days for next season.)’ type=’radio’ options=’Yes,No’/][contact-field label=’Please list the Week # and days/dates missed.’ type=’text’/][contact-field label=’The doctor has indicated that my camper will be ready to participate and our family%26#039;s schedule would allow a transfer or make-up day participation in any of the following weeks. ETC weeks may transfer only to other ETC weeks%26#x002c; Breakout to other Breakout weeks%26#x002c; and Explosion to other Explosion weeks. *’ type=’radio’ options=’Explosion 1 (June 6-10),ETC 2 (June 13-17),Breakout 3 (June 20-24),ETC 4 (June 27-July1),Breakout 5 (July 4-8),Explosion 6 (July 11-15), Breakout 8 (July 25-29),ETC 9 (Aug 1-5),No Future week is available for my current camp type. Please Contact me about my options.’/][contact-field label=’Comments’ type=’textarea’/][contact-field label=’redirect’ type=’hidden’ default=’/thanks/’ /][/contact-form]