2018 Medical Forms

2018 SYC Junior Activities Medical Form
(please complete one form per child)
* Indicates Response Required
Please Note
Prior to beginning this medical form, you may wish to gather the required information for each child.
Information Required
*Physician Signed Medical Form See note below.
Emergency Contact Information
Medical Conditions, Medications and/or Allergies
Child's Physician and Phone Number
Health Insurance Company and Policy Number
Please Note
*The Physician Medical Form is required for all Camp & Tween participants who have allergies and/or medical conditions which may require medicine to be administered by SYC personnel. The attached form must be printed and brought to a doctor to be signed. Later in this form, you will be prompted to upload the signed form.