Camp Geneva Medication Form If this form is not submitted by 7pm on Sunday (the night before your child checks in at camp), you may need to complete the form again at check-in at the Health Officer's station. Camper Name(Required) First Last Gender(Required)MaleFemaleBirthdate MM slash DD slash YYYY All medications must be turned in at Monday morning check-in, in their original container. This includes prescriptions, OTC medications, supplements (including gummies and melatonin), and essential oils. Prescription medications must be prescribed to the camper and have clear and current instructions.(Required)All medications must be turned in at Monday morning check-in, in their original container. This includes prescriptions, OTC medications, supplements (including gummies and melatonin), and essential oils. Prescription medications must be prescribed to the camper and have clear and current instructions. I understand Program(Required)Day CampShoresPinesHigh SchoolDay Camp Session(Required)Day Camp • June 9-13Day Camp • June 16-20Day Camp • June 16-21 (Thursday & Friday Overnight)Day Camp • June 23-27Day Camp • June 23-27 (Thursday Overnight)Day Camp • June 30-July 3Day Camp • June 30-July 4 (Wed & Thursday Overnight)Day Camp • July 7-11Day Camp • July 7-12 (Thursday Overnight)Day Camp • July 14-18Day Camp • July 14-18 (Thursday Overnight)Day Camp • July 21-25Day Camp • July 21-25 (Thursday Overnight)Day Camp • July 28-August 1Day Camp • July 28-August 1 (Thursday Overnight)Day Camp • August 4-8Day Camp • August 11-14Shores Session(Required)Shores • June 9-13Shores • June 16-21Shores • June 23-27Shores • June 30-July 4Shores • July 7-12Shores • July 14-18Shores • July 21-25Shores • July 28-August 1Shores • August 4-8Shores • August 11-15Pines Session(Required)Pines • June 9-13Pines • June 16-21Pines • June 23-27Pines • June 30-July 4Pines • July 7-12Pines • July 14-18Pines • July 21-25Pines • July 28-August 1Pines • August 4-8Pines • August 11-15High School Session(Required)GENEVA Classic • June 9-13Pack & Paddle • June 16-21CIT • June 23-July 4CONNECT • June 30-July 4Water Week • July 7-12CIT • July 14-25GENEVA Classic • July 28-August 1Down the Road • August 4-8Medication(Required)Dosage(Required)Time(Required) Breakfast Lunch Dinner Bedtime As Needed Does your child have an additional medication?(Required)YesNoMedication 2(Required)Dosage(Required)Time(Required) Breakfast Lunch Dinner Bedtime As Needed Does your child have an additional medication?(Required)YesNoMedication 3(Required)Dosage(Required)Time(Required) Breakfast Lunch Dinner Bedtime As Needed Does your child have an additional medication?(Required)YesNoMedication 4(Required)Dosage(Required)Time(Required) Breakfast Lunch Dinner Bedtime As Needed Does your child have an additional medication?(Required)YesNoMedication 5(Required)Dosage(Required)Time(Required) Breakfast Lunch Dinner Bedtime As Needed Additional Information (if necessary)We stock many common over-the-counter medications so we discourage you from sending them to camp. If you have questions about which over-the-counter medications we have, you can contact our office prior to camp or the camp health officer is available at check-in.Parent Name(Required) First Last Date(Required) MM slash DD slash YYYY