Health Form | Camp Eden Woods

2026 Camper Health Form

Please take a moment to fill out this health form for each camper.

Camper's Last Name

Camper's First Name

Camper's Date of Birth required

Camper's Home Address ( Street # and Name)

City

Province/State

Postal/ZIP code

Camper's Email

School Name

Last Grade Completed as of July 1st 2026

1st Parent/Guardian Name

1st Parent/Guardian Email

1st Parent/Guardian Cell Phone Number

2nd Parent/Guardian Name

2nd Parent/Guardian Email

2nd Parent/Guardian Cell Phone Number

Visitation Rights and Custody

Upload Custody Documents URL file (google forms link is easiest)

Emergency Contact Name

Emergency Contact Relation

Cabin Request. Who would your child like to be grouped with?

Emergency Contact Email

Emergency Contact Phone

Does your child have any physical restrictions, injuries or limitations? Please describe

During the past year, has your child seen a professional to discuss mental or emotional health concerns? Or experienced a significant life event (new sibling, death of a loved one, family changes, tramatic events, etc.)?

Swim Notes!! Please tell us if there is anything we should know about your child and their swim level or comfort in the water

If yes, please describe the medical condition

Please list all medication your child is current taking, with dose and frequency

Please list details of your child's allergies and reaction severity

Please share relevant details of dietary restirctions or sensitivities.

Are there any mental health concerns the staff should be aware of? (ec. anxiety, ADHD, depression, sensory sensitivities, or triggers that cause distress, etc).

Are there are any sleep related concerns, such as bedwetting, sleepwalking, etc? Is there a specific strategy or procedure to help the camper in these circumstances?

We want to support our campers and staff to the best of our ability. Is there anything else not covered on the form that will allow us to best support your child?

OHIP number (Ontario Residents)

Family Physician Name

Travel Insurance (International Campers)

Health Insurance Carrier Name

Family Physician Phone Number

Health Insurance Policy Number

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