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Parks & Recreation

Healthy Parks, Healthy Portland

phone: 503-823-7529

1120 SW Fifth Avenue, Portland, OR 97204

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 your work to use for both forms!
  • Have a child attending more than one week? SAVE the document after filling it out, so you can print an additional copy!
  • If you don't have an electronic signature, that's ok - just sign it with a pen after printing!

Health Form & Medical Release

Click above to find the required health form. We require all participants to have one each week!