Camper Health & Info Form - Chabad of the Bay Area
« Back to Chabad of the Bay Area
 
ב"ה

Camper Health & Info Form

  • After you have filled out the Camp Application , please fill this camper health & info form out as well. 

    Any questions? Don't hesitate to call Malky at 713-398-7124 or email [email protected] 

  • Parent & Camper Info

  • Health & Emergency Contacts

  • If any health or wellness issue arises, we will contact one of the parents. In case of emergency, or where the parents cannot be reached, please provide doctor, insurance and an additional emergency contact below.

  • Should be Empty:
Secure This page uses TLS encryption to keep your data secure.