Prince George's County Department of Parks and Recreation

Day Camp Forms

2014 Summer Programs Information


Day Camp Required Forms Process

To comply with the state of Maryland’s Youth Camp Standards, The Department of Parks and Recreation has instituted a new, streamlined process for completing and collecting required forms. It is the parent/guardian’s responsibility to deliver all necessary, completed forms to each program location. Children may not attend any session without completed forms on site. NO EXCEPTIONS.

If you have any questions or need any help before or during registration, please call the Customer Service Help Desk at 301-699-CALL(2255); TTY 301-699-2544. Información en Español: 301-445-4509.

DURING REGISTRATION…
Once you’ve selected the program you want for your child, a pop-up screen will appear listing 8 prompts which you are required to answer in order to complete a registration. The prompts are:

Emergency Contact Name (other than parent/guardian)
Please provide the full name of the person to contact in case of an emergency.

Emergency Contact Phone Number (other than parent/guardian)
Please provide the phone number of the emergency contact.

Physician’s Name
Please provide the name of your child’s physician.

Physician’s Phone Number
Please provide the physician’s phone number.

Is the participant a swimmer/non-swimmer?
Please indicate whether the child is a swimmer or a non-swimmer. (See page 4 of the camp brochure or online flip book.)

Has the participant been immunized?
Your options are: (a) Yes – student in a Maryland public or private school ; (b) Yes – student is home-schooled or was in a school other than in the state of Maryland school; (c) No.

If you answer Yes – and the student was in a Maryland public or private school, you will not need to complete a Maryland DHM Immunization Certificate .

If you answer No, or Yes, the student is home-schooled or was in a school other than the state of Maryland, then the Maryland DHM Immunization Certificate will print out with your Day Camp Confirmation Receipt . This Certificate must be completed and returned to staff prior to your child’s participation in the day camp program.

Are there any health issues?
Please answer Yes or No. Participants who have health issues such as allergies or other illness, take medication (prescription or over-the-counter), or use emergency medical devices such as inhalers or Epi-pens should answer Yes. The Health-Medication Form will be printed with your Day Camp Confirmation Receipt at the end of the registration. This form must be completed and returned to staff prior to your child’s participation in the day camp program. If you answer No, you will not need to complete any additional health forms.

Date of last Tetanus or DPT vaccination
Please fill-in the month/year (example: 01/2013) when the child last received a Tetanus or DPT vaccination. This is a requirement of the State of Maryland.

When you’ve completed this information once, and if you want to register the child for additional camp sessions during the summer, these fields will automatically populate with your answers.

Once your registration and transaction are complete, the following items will print out for your convenience:

A Day Camp Confirmation Receipt
A Summer Day Camp Authorization Form (This form authorizes who may pick up your child during a camp session, and must be returned to camp staff prior to participation in the program.)
And, depending upon your answers to the prompts, the Health-Medication Form or Maryland DHM Immunization Certificate.

Day Camp Forms


Participant Profile Form: This form includes emergency contact information and general information about the participant. It will be signed on the first day of camp as you drop off your child.

Day Camp Authorization Form: This form details who is allowed to sign-in and sign-out your child from Day Camp. It is required for every Day Camp participant. A completed copy must be turned in to every program location prior to June 1.
- Download the 
English version
- Download the Spanish version

Health/Medication Form: This form includes detailed information about a participant's health issue, including illnesses, allergies and any medication, emergency medical devices, or asthma inhalers that are taken during camp hours. If necessary, please return a completed copy to every program location prior to June 1.
- Download the Health-Medication Form

MD Department of Health Immunization Certificate: This form details the participant's immunization history. It should be completed for any child who did NOT attend a public/private school in Prince George’s County. If necessary, please return a completed copy to every program location prior to June 1.
- Download the English version
- Download the Spanish version
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