Education & Engagement

Orchestra Project Medical Form

  • EMERGENCY CONTACT

    Someone other than parent/legal guardian
  • INSURANCE INFORMATION

  • (to student)
  • (if different from above)
  • MEDICATION

    If you are bringing medication(s) to camp they will need to be given to the Camp Directors at orientation to store during camp. Medication must be labeled and placed in a zip lock bag. The student is responsible for locating the Camp Directors when they need to take their medication.
  • Please consider prescription drugs and over-the-counter medication that might be needed for headaches, cramps, insect bites, hay fever, etc. Include name of medication, reason for medication, dosage and frequency of dose.
  • If you select NO below, medication will be kept with the dorm counselors and students will be responsible for checking in the counselor daily for their medication.
  • ALLERGIES/MEDICAL HISTORY

  • Does the student carry an inhaler or an epi-pen at all times?