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Medical Forms

We look forward to welcoming your child to one of the exciting camps operated by Avon Old Farms School.

Please read the following if your child will attend at least one of the following camps:

  • John Gardner’s Hockey Camp
  • Avon Old Farms Baseball Camp
  • Avon Old Farms Basketball Camp

According to state regulations, we are required to have health records on file for each child attending camp. To complete the registration process, the following Google Form must be completed and returned two weeks prior to the start date of camp, and either a scan or hard copy of a physical exam and immunization records, any prescriptions for any medication (prescription or OTC), and a must be sent prior to the start of the camp. If your child will attend more than one AOF camp listed above, you need only submit the forms once, two weeks prior to the start date of his/her first AOF camp. If your child is attending a camp at Avon Old Farms School that is not listed above, you will need to contact that camp’s office/director for information regarding medical forms. 

Required Medical Forms

We need copies of the following form on file for each camper

For campers with special health care needs:

Please Note: If your child will need medication during the course of his or her day, please read the following information and complete the appropriate forms above.

Below, please find our camp medication administration policy. Our summer programs wish to limit medication usage to camper self-administration (of a school age), with the exception of Epi-Pens. The program will keep the proper documentation on file. If your child brings to camp an inhaler, or other prescribed oral or topical medication, or a non-prescribed (over-the counter) oral or topical medication that may need to be provided, camper must be able to self-administer. Proper documentation should be submitted with the physical forms.

Administration of Medication Policy

Avon Old Farms Summer Camps will keep on file the following:

  • All prescribed inhalers or Epi-pens or other medications with parent’s consent and a doctor’s signature
  • Non-prescription oral medications with parent’s consent and a doctor’s signature
Parent Responsibilities
  • It is the parent’s responsibility to inform program staff upon registration that their child has a prescribed inhaler, epi-pen, or other medication.
  • Prescription medications must be handed to the Director of First Aid by the child’s parent.
  • Medication forms are required to be signed by parent and the child’s physician before the program starts. Your child will not be allowed to attend camp if the appropriate forms (attached below) are not completed. If there are any changes to the child’s dosage/medication, a new set of forms must be completed by the child’s physician.
  • Medications must be in their original container and clearly labeled with the child’s name. A prescription label must accompany all prescription medication.
Staff Responsibilities
  • Camp staff will maintain medications in accordance with Connecticut State Dept. of Health regulations
  • All medications, except for epi-pens, will be self-administered by the camper under close supervision of a camp staff member
  • Epi-pens will be administered by an appropriately trained camp staff member
  • Parents shall be notified of any administration errors by telephone by a camp staff member. The error will be documented in the child’s camp record
  • Camp staff will keep accurate documentation of all medications administered by completing the proper paper work, which will be kept in the program director’s files. Individual administration records shall include:
    • The date the medication was administered
    • The time it was administered
    • The dose that was administered
    • Any comments

If you have any questions about the administration of medication during camp, please contact:

Benjamin Schloat
AOF Summer Programs Director of First Aid
schloatb@avonoldfarms.com

Questions?

860-404-4180
camp@avonoldfarms.com