Westside Summer Camp Health Form 2025
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Please list relevant medication, allergy, and medical information below and upload your child's
certificate of immunization record (CIS)
.
Parent/Guardian Name
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required
First Name
Last Name
Parent/Guardian Email Address
*
required
Student Name
*
required
First Name
Last Name
Medications
Allergies
Additional Relevant Heath Information
Certificate of Immunization Record (CIS)
*
required
Attach up to 5 files with a maximum size of 10MB
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