4-H Camp Health Form
A health form for 4-H campers where parents record medical information, allergies, and contacts so camp staff can respond to health needs. Print it, complete each field clearly, and return it to the person in charge.
Download free PDF1 page, US Letter, prints clean in black and white
Form4-HFree PDF
What you fill in
- Camper name and club
- Date of birth (per your state form)
- Parent or guardian name and phone
- Allergies and dietary needs
- Medical conditions to know about
- Current medications as directed
- Doctor name and contact
- Insurance information as required
- Parent consent signature
How to use this form
Print one per event, animal, field or person. A completed form on file is easier to rely on than a memory.
Where to check the details
This sheet is a general template, so confirm specifics with your own manuals, labels and local rules. For current official guidance, start with CDC and eXtension.
For more in this area, see the farm career guides. Between chores, farm.FM has farm humor, including Dairy Goats Form Union; Demand Better Fences to Climb Over, and farming farm stories.