2022 Summer Camp Header Image.png

CAMP HEALTH FORMS

Below are the required forms for each camper. Please submit all forms by June 17th, 2022. 
Please note: These are not registration forms, they are to be filled out after registering.

Health History, Authorization, and Terms of Agreement:

Online form to be filled out separately for each camper. 

Physical Exam:

Please download and print; first page to be filled out by parent/guardian, second to be completed and signed by a physician. Copy of 2021-22 school physical, or note on doctor's letterhead with immunization history (ATTACHED TO THE LETTER), is also acceptable. 

*If you are submitting a different form, please also include the first page of our form in your submission*

Please also include your child's allergy action plan (if applicable) in addition to noting it in the form above.

Physical exam forms can be scanned and emailed to  info@smli.org or mailed to:

Science Museum of Long Island

1526 N. Plandome Road

Manhasset, NY 11030