Camping Health, Consent and Release Forms

Every individual attending a Young Life summer camp (campers, leaders, volunteers, adult guests, infants and toddlers, etc.) must submit a completed health consent and release form, providing the camp with important medical and insurance information in the event of an accident or illness. This form must be completed before departure for camp.

To complete this form you will need:

Home Area

Young Life area number provided by your trip leader. You can also search by zip code.​​​

(Ex: VA37)

​Camp Name

Young Life Camp​​ that you or your child is attending.​

(Ex: Rockbridge)

​Camp Dates​

The camp dates that you or your child are attending.​

(Ex: June 16th - 21st)

​Health Insurance

Insurance company name, policy number, mailing address and phone.​

​Health History

Camper's ​health history including an immunization record.

Choose Camp Trip Length

Camp trips UP TO 72 hours

​​All attendees for Young Life trips less than 72 hours complete this paper form and submit it to your child's Young Life leader:

Do NOT email completed forms​ due to HIPAA and personal information regulations.

Camp trips 72 hours OR MORE

Health Form

Do NOT email completed forms​ due to HIPAA and personal information regulations.

Online Health Form Instructions

I have:

U​sed the online H​ealth and Consent form before.

Copy a health form for a new camp trip:

1. Login to your online Health and Consent Form account using your previous username and password.

2. Choose form​ to copy. Select the Make a Copy​ button.

3. Select Same Individual or Another Family Member. Make a Copy.

4. Review and update​ the information for this trip and year.

5. Submit​ the form.

6. Determine​ if a physician's signature is needed.​

​​​If you are taking more than one camp trip:

​​ You must have a separate form for each trip. Complete and submit one form; then copy it for your additional trip(s).

NOT used the​ online Health and Consent form before.

​Create an account by clicking the green button below and using the Create an Account link on that page.

1. Click the Create New Form​ button.

2. Create your online signature.

  • ​​ ​ ​ ​ A parent or legal guardian must​ sign the form if the camper is under the age of 18.

3. Complete each page​ of the form. Click Save and Continue​ at the end of each page to save your work and continue to the next page.

  • ​​ ​ ​ ​ Note - If you desire to upload an insurance card, be sure to do so BEFORE​ you submit the form.

4. Click the Submit Form​ button.

More than one family member attending camp.

If more than one child is traveling to a Young Life Camp from the same family, you can use the Copy Form function to copy basic information from one health form to another. To copy a health form for another family member:

1. Select​ the form you want to copy by selecting the blue bar. Make a Copy​ button.

2. Select​ Another Family Member. Make a Copy.

3. Verify​ your online signature.

  • ​​​ ​ ​ ​ A parent or legal guardian must sign the form if the camper is under the age of 18 or under the age of 19 for Malibu Club and Beyond Malibu. ​

4. Review and update ALL information​ for this family member.

  • ​​​ ​ ​ ​ Note - If you desire to upload ​ a copy of ​ an insurance card, be sure to do so BEFORE you submit the form.

5. Submit​ the form.​

6. Determine​ if a physician's signature form is required.​

I am attending:

Lake Champion or Saranac Village​

Anyone traveling to a Young Life Camp in New York must also complete a Prescription and Over-The-Counter Medication Rider To Health Consent and Release Form:

  • Prescription and Over-The-Counter Medication Rider to Health Consent and Release Form
  • Other documentation may be needed. Please confirm any other documents with your trip leader.​​

Anyone traveling to Lake Champion must attach a record of immunization to the Health Consent and Release Form. This official record must show 2 doses of the MMR (Measles, Mumps & Rubella) vaccination and be on letterhead from the provider or have a valid signature by the medical professional.

Online Health Form ​ Questions

When is a Physician's Signature required?

The online health form application will determine if a physician signature is required. The following individuals must obtain a physician's signature on the YL - 6007 or Physician Signature Form:

  • Is attending Beyond Malibu OR Cast​away Club* OR
  • Is a camper or work crew that is pregnant or has given birth within 12 weeks of the camp date, OR
  • Is an infant between 6-12 weeks during the camp trip, OR
  • Is a camper attending any Colorado camp, OR
  • Is attending Frontier Ranch or Crooked Creek Ranch AND is under the age of 18 at the time of attending camp, and meets certain medial criteria as defined by the state of Colorado (click to view criteria) OR
  • Is attending Wilderness Ranch AND is under the age of 18 at the time of attending camp

*Adult Guests are not required to obtain a Physician's signature on the YL - 6007.

Note: When a physician's signature is required, the signature must be obtained within the same calendar year as the camp trip on the Young Life Camping Health Consent and Release Form. This may be completed by a Physician, Physician Assistant, or Nurse Practitioner only.

You are able to use the Online Health and Consent form when a physician's signature is required. To do so:

1. ​ Complete and submit the Online Health and Consent form.
Note: This form is now in Awaiting Physician Signature state.

2. ​ To Print the Physician Signature Form: Select the View (Printable) Physician's Signature Amendment link. Print the form.

3.​ ​ Have the physician sign the completed form.

4. ​ Submit or upload the Physician’s Signature Form. You have two options:

Option 1:​ Have a physician sign and fax (1-866-381-4156) the completed addendum to the number listed on the form.*
This is the preferred method.

Note: Once the form has been signed by a physician and faxed it is now in the Complete state. ​

Option 2: Upload a PDF, high resolution JPEG, GIF or PNG of the signed Physician’s Signature Form. To do this:

  • Login to your Young Life health form account at healthform.younglife.org
  • Select the health form by clicking the blue bar. Select View Physician Signature Form.
  • In the new window, select Browse. Select file on your computer. Upload.
  • Please allow up to 30 minutes for the file to be processed. Your health form status will change from Awaiting Physician Signature to Complete.

* Many walk in clinics can provide this service.​

What is Young Life's Privacy Policy​?

This notice describes how medical information about you may be used and disclosed and how you can get access to this information.

Instructions:
Please contact the Young Life Benefits department with any questions at (888) 266-9890.

How do I upload Immunization Records​?

An Immunization Record or Exemption Letter may be uploaded to an online health consent and release form while a parent is completing the form or it may be uploaded after the form is submitted.

To upload an immunization record, the record must be in one file. It may be uploaded as a PDF, JPEG or PNG file. If the record is in multiple pages, the parent should save it to their computer in one file prior to uploading.

To upload​ an Immunization Record or Letter of Exemption after the form is submitted:

  • Log in​ to your Young Life health form account: healthform.younglife.org.
  • Select​ the health form by clicking the blue bar:​
  • Choose​ View Immunization Record:
  • Browse. Choose​ Immunization file on your computer. Save.​

Uploading a new Immunization Record will replace the current Immunization Record or Letter of Exemption that was previously uploaded or entered into the online health form.

Call Camping Services at 719-381-1844​ or email us at camping@sc.younglife.org​ if you have any questions.​​

What is a Registrant ID and Access Code?​

Don't have a Registrant ID or Access Code?

​​When a parent logs in to the online Young Life Health Consent and Release Form, they will be asked for a Registrant ID and Access Code. If​ the parent does not have these, please select the "Don't have a registrant id?" blue button. The parent will then be able to begin their camper's health form.

Additional Questions

For general camp trip questions, contact your local Young Life area.

For questions on completing the Health Form, contact Camping Support by email​ or phone at 719-381-1844.

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