707-668-1601
PO Box 521
Blue Lake, CA  95525

Sign-Up

Use the form below to register for Camp Tamarack. A minimum payment of $150 is required.

Camper Name:
   
Birthday:
(mm/dd/yyyy)     Age:    Sex:
School
   Grade (next fall):    # of Siblings:
Parent/Guardian Name:
    Home Phone:
Address:
City:
State: Zip:
Work Phone Mother:
   Work Phone Father:
Cell Phone Mother:
   Cell Phone Father:
Email Mother:
   Email Father:
Telephone numbers where parents can be reached during backpacking,
if different than above:
Is camper a swimmer?
Yes   No         Date of last Tetanus shot: (mm/dd/yyyy)
Physician:
   Physician Phone:
Insurance Company:
Group Number:
   Customer Number:

May your child ride horseback?  Yes   No

Do you have any dietary restrictions (vegetarian, etc.)?

Can we use pictures of your child in future brochures and advertising?     Yes   No

Are there other things we should know? Please explain any further information about physical or behavioral conditions that the camp staff should know about, such as sleepwalking, bedwetting (please send an easily laundered sleeping bag), epilepsy, fainting, asthma, hyperactivity, nose bleeds, etc. Please be as specific as possible:

Is there any additional information, which would be of help in promoting your child's welfare at camp? Please include any experiences that might be upsetting to your child:


As-Needed Medications
If you do not wish to have your child treated using the following medications in the event
of the presence of the symptoms indicated, please check the "No" column.
 
Symptom
Treatment
No
Abdominal Pain
Maalox
No
Nausea
Kaopectate or Homeopathic Remedies
No
Allergy, Hives, Bites
Hydrocortisone Cream 1% or Benadryl Cream
No
Constipation
Milk of Magnesia
No
Cough
Robitussin DM
No
Cuts
Hydrogen Peroxide and Neosporin Cream
No
Diarrhea
Kaopectate or Imodium
No
Earache
Acetaminophen or Homeopathic earache tablets
No
Eye Irritation
Visine AC
No
Fever, Flu: Headache
Acetaminophen, Ibuprophin or Homeopathic Remedies
No
Menstrual Cramps
Acetaminophen or Ibuprophin
No
Rash
Cortaid Cream
No
Sore Throat
Warm Salt Gargle, Acetaminophen, Echinacea Spray or Homeopathic Remedies
No
Sunburn
Calendula Cream
No
Bruises, Sore Muscles
Arnica Cream and Homeopathic Tablets

NOTE:
You must also submit a Complete Camper Application, Medical Waiver
and Horseback Release (if applicable) by mail.

You can download these forms at any time from the Download Forms page.

 

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