2018 Camp KidJam Health Form
Every person attending Camp KidJam MUST fill out this form! This includes campers AND leaders. Please be sure to have ALL health forms completed upon arrival to camp. Our First Aid staff will count each form to make sure that we have one for every camper and leader.

Although it is not mandatory, we recommend that every attendee, leader or child, has health insurance. If you have health insurance, please attach a copy of the attendee's insurance card in the insurance section of this form.

Name of Church you are attending with: *
Name of attendee: *
Male or Female: *
Birth Date: *
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Age upon arrival to camp: *
Address: *
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