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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, 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 Huse Kivrak at hkivrak@smli.org or mailed to:

Science Museum of Long Island

1526 N. Plandome Road

Manhasset, NY 11030