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Health and Medical Survey



After booking your Camping Adventure, please fill out our Health and Medical Survey (680-001_AB) below. All responses are kept strictly confidential. Please contact Lead Guide Matt Gaor at (646) 883-5850 with questions.

We use the Boy Scouts Annual Health and Medical form, located below. Please fill out one form per attendee. Note:

  • You do not need to fill out any Boy Scout specific fields, such as Unit Leader.

  • Allergy information is important!

  • On Page B1, emergency contact info is important. Please fill out both a primary and alternate contact.

  • On Page B2, Immunization info is optional but may provide useful if emergency response is required.




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