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Camper Registration

Health Form

This form must be completed by a parent and by your pediatrician.

Please return the form to us as soon as possible - no later than June 1.

Return the form to us in one of these ways:

  • Scan and email us at
  • Fax the form to (718) 788-3214
  • Mail the form to us at 378 3rd Street, Brooklyn NY 11215
  • Scan and upload the form using the button below (make sure file is in .pdf format)

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