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 8-12Day Camp • June 15-19Day Camp • June 15-20 (Thursday & Friday Overnight)Day Camp • June 22-26Day Camp • June 22-26 (Thursday Overnight)Day Camp • June 29-July 2Day Camp • June 29-July 3 (Wed & Thursday Overnight)Day Camp • July 6-10Day Camp • July 6-11 (Thursday Overnight)Day Camp • July 13-17Day Camp • July 13-17 (Thursday Overnight)Day Camp • July 20-24Day Camp • July 20-24 (Thursday Overnight)Day Camp • July 27-31Day Camp • July 27-31 (Thursday Overnight)Day Camp • August 3-7Day Camp • August 10-13Shores Session(Required)Shores • June 8-12Shores • June 15-20Shores • June 22-26Shores • June 29-July 3Shores • July 6-11Shores • July 13-17Shores • July 20-24Shores • July 27-31Shores • August 3-7Shores • August 10-14Pines Session(Required)Pines • June 8-12Pines • June 15-20Pines • June 22-26Pines • June 29-July 3Pines • July 6-11Pines • July 13-17Pines • July 20-24Pines • July 27-31Pines • August 3-7Pines • August 10-14High School Session(Required)GENEVA Classic • June 8-12Pack & Paddle • June 15-20CIT • June 22-July 3CONNECT • June 29-July 3Water Week • July 6-11GENEVA Classic • July 13-17GENEVA Together • July 20-24GENEVA Classic • July 27-31Down the Road • August 3-7Medication(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