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The City of Portland, Oregon

Portland Parks & Recreation

Healthy Parks, Healthy Portland

Phone: 503-823-7529

1120 SW Fifth Avenue, Portland, OR 97204

More Contact Info

Health Form

A completed Health Form is required for all campers to participate each week of camp. Please fill it out the form - it's a writable PDF file, so save a copy if you need to! Your child will need a new form every week they are registered. If an item does not apply please write "N/A". Print and sign the form. Bring with you to the first day of your week of camp.

  • Have more than one child attending camp? Fill out the information that is the same for both children, then SAVE a copy named for each child!
  • Have a child attending more than one week? SAVE the document on your computer and print an additional copy for each week of camp!
  • If you don't have an electronic signature, that's ok - just sign it with a pen after printing!

Intake & Medical Waiver (English/Spanish)

For best results - Please save the file to your desktop and then fill it out!