Frog Hollow
Racquet Club
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Frog Hollow Summer Camp Health Form
All campers must have a completed health form by June 1st to be allowed to
participate
in camp.
Camper Name
Date of Birth
Parent or Guardian Name
Contact Phone
Your Relationship to Camper
Does your child have medical conditions that we should be aware of (e.g. asthma, peanut allergy)
No
Yes
Are there any restrictions or limitations for your child during camp?
No
Yes
If I am not available in an emergency, please contact:
Emergency Contact Phone
Your Signature
Clear
I confirm that the information given in this form is true
Submit
Thanks for submitting!
I have read and agreeed to the Frog Hollow Racquet Club Program Agreement, Release, Assumption of Risk, Waiver of Liability and Right to Sue and Indemnity/Hold Harmless Agreement and EFT Authorization.
