Sample Camp Health Assessment Form Page 2
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2Printed Name _____________________________________________________ Date __________
(Turn Over)
Parents and Campers:
I am interested in learning more about your individual interest in coming to Hart-to-Hart Farm Day
Camp. Because of the camp’s size, we have a unique opportunity to gear our programs toward each
camper’s personal interest. Please take a moment and tell me about yourself and what you might
want to learn at camp this summer. We look forward to seeing you soon!
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Parent category: Medical