2025 Summer Camp Forms

All camp forms must be completed before the first day of camp.

How many children will you be filling this form out for?

How many children will you be filling this form out for? 1 2 3 4
Child #1 Name Child #1 Name * First Last
Child #1 age as of June 16, 2025 *
Child #1 grade for 2025-2026 school year *
Select all camps child #1 is registered for *

Select all camps child #1 is registered for All Sports Camp All Star Girls' Camp Anglers Camp Boys MS Hoops Camp Bread & Roses Art Camp Cheer Camp Clipper Day Camp Rowe Clipper Day Camp YES Clipper Lightning Soccer Camp Dribble Doc Camp Football Camp Freedom of Expression for Girls Camp Fun Chef's Camp Garden Explorer Camp Get Out and Go Camp Girls MS Hoops Grand Slam Tennis Camp High Touch High Tech Camp Jr. Clipper Basketball Camp Lightning Baseball (Edge) Camp Mad Science Camp MakerSpace Camp Pickle Buddies Camp Robotics Camp Sculpture Camp SeaSpray Kayaking Camp Softball Camp Strategy Games Camp Summer Adventure for Girls Camp Summer Fun Camp Thread and Trend Camp Track and Field Camp Youth Lacrosse Camp
Does child #1 have permission to walk or bike home from camp? (select one) *

Does child #1 have permission to walk or bike home from camp? (select one) Yes - On their own, at any time Yes - On their own, at the end of the program Yes - On their own, after a parent text/call or specified time Yes - Only with sibling/s, at any time Yes - Only with sibling/s at the end of the program Yes - Only with sibling/s after a parent text/call or specified time No - My child will be picked up by a parent/guardian each day Other Other
Please list all food and environmental allergies for child #1 For none, write "none". *
Does Child #1 need to take medication at camp? *

Does Child #1 need to take medication at camp? No Yes - See medication form at the bottom of this form
Behavioral and Social Considerations
To help us create a safe and positive experience for all participants, please share any behavioral, emotional, or social concerns we should be aware of (e.g., anxiety, ADHD / ASD, sensory sensitivities, difficulty with transitions, past behavioral challenges, etc.). This information will help our staff provide appropriate support and accommodations.
Does child #1 have any behavioral or social concerns we should be aware of? *

Does child #1 have any behavioral or social concerns we should be aware of? No yes
If "yes" above, please explain. If none, write none. *
Does child # 1 have an IEP, 504 Plan, or other behavioral support plan? (If yes, you may provide a copy if you feel it would be helpful.) *

Does child # 1 have an IEP, 504 Plan, or other behavioral support plan? (If yes, you may provide a copy if you feel it would be helpful.) No Yes
You may upload child #1's IEP, 504, or behavioral support plan here.

Attach Files
If you would like Yarmouth School Department to be able to communicate child #1's IEP, 504, behavior plan or other needs with Yarmouth Community Services, please sign the YSD Release of Information waiver which can be found on our website below:
Child #2 Name Child #2 Name * First Last
Child #2 age as of June 16, 2025 *
Child #2 grade for 2025-2026 school year *
Select all camps child #2 is registered for *

Select all camps child #2 is registered for All Sports Camp All Star Girls' Camp Anglers Camp Boys MS Hoops Camp Bread & Roses Art Camp Cheer Camp Clipper Day Camp Rowe Clipper Day Camp YES Clipper Lightning Soccer Camp Colt's Soccer Camp Dribble Doc Camp Football Camp Freedom of Expression for Girls Camp Fun Chef's Camp Garden Explorer Camp Get Out and Go Camp Girls MS Hoops Grand Slam Tennis Camp High Touch High Tech Camp Jr. Clipper Basketball Camp Lightning Baseball (Edge) Camp Mad Science Camp MakerSpace Camp Pickle Buddies Camp Robotics Camp Sculpture Camp SeaSpray Kayaking Camp Softball Camp Strategy Games Camp Summer Adventure for Girls Camp Summer Fun Camp Thread and Trend Camp Track and Field Camp Youth Lacrosse Camp
Does child #2 have permission to walk or bike home from camp? (select one) *

Does child #2 have permission to walk or bike home from camp? (select one) Yes - On their own, at any time Yes - On their own, at the end of the program Yes - On their own, after a parent text/call or specified time Yes - Only with sibling/s, at any time Yes - Only with sibling/s at the end of the program Yes - Only with sibling/s after a parent text/call or specified time No - My child will be picked up by a parent/guardian each day Other Other
Please list all food and environmental allergies for child #2 For none, write "none". *
Does Child #2 need to take medication at camp? *

Does Child #2 need to take medication at camp? No Yes - See medication form at the bottom of this form
Behavioral and Social Considerations
To help us create a safe and positive experience for all participants, please share any behavioral, emotional, or social concerns we should be aware of (e.g., anxiety, ADHD / ASD, sensory sensitivities, difficulty with transitions, past behavioral challenges, etc.). This information will help our staff provide appropriate support and accommodations
Does child #2 have any behavioral or social concerns we should be aware of? *

Does child #2 have any behavioral or social concerns we should be aware of? No yes
If "yes" above, please explain. If none, write "none". *
Does child # 2 have an IEP, 504 Plan, or other behavioral support plan? (If yes, you may provide a copy if you feel it would be helpful.) *

Does child # 2 have an IEP, 504 Plan, or other behavioral support plan? (If yes, you may provide a copy if you feel it would be helpful.) No Yes
You may upload child #2's IEP, 504, or behavioral support plan here.

Attach Files
If you would like Yarmouth School Department to be able to communicate child #2's IEP, 504, behavior plan or other needs with Yarmouth Community Services, please sign the YSD Release of Information waiver which can be found on our website below:
Child #3 Name Child #3 Name * First Last
Child #3 age as of June 16, 2025 *
Child #3 grade for 2025-2026 school year *
Select all camps child #3 is registered for *

Select all camps child #3 is registered for All Sports Camp All Star Girls' Camp Anglers Camp Boys MS Hoops Camp Bread & Roses Art Camp Cheer Camp Clipper Day Camp Rowe Clipper Day Camp YES Clipper Lightning Soccer Camp Colt's Soccer Camp Dribble Doc Camp Football Camp Freedom of Expression for Girls Camp Fun Chef's Camp Garden Explorer Camp Get Out and Go Camp Girls MS Hoops Grand Slam Tennis Camp High Touch High Tech Camp Jr. Clipper Basketball Camp Lightning Baseball (Edge) Camp Mad Science Camp MakerSpace Camp Pickle Buddies Camp Robotics Camp Sculpture Camp SeaSpray Kayaking Camp Softball Camp Strategy Games Camp Summer Adventure for Girls Camp Summer Fun Camp Thread and Trend Camp Track and Field Camp Youth Lacrosse Camp
Does child #3 have permission to walk or bike home from camp? (select one) *

Does child #3 have permission to walk or bike home from camp? (select one) Yes - On their own, at any time Yes - On their own, at the end of the program Yes - On their own, after a parent text/call or specified time Yes - Only with sibling/s, at any time Yes - Only with sibling/s at the end of the program Yes - Only with sibling/s after a parent text/call or specified time No - My child will be picked up by a parent/guardian each day Other Other
Please list all food and environmental allergies for child #3 For none, write "none". *
Does Child #3 need to take medication at camp? *

Does Child #3 need to take medication at camp? No Yes - See medication form at the bottom of this form
Behavioral and Social Considerations
To help us create a safe and positive experience for all participants, please share any behavioral, emotional, or social concerns we should be aware of (e.g., anxiety, ADHD / ASD, sensory sensitivities, difficulty with transitions, past behavioral challenges, etc.). This information will help our staff provide appropriate support and accommodations
Does child #3 have any behavioral or social concerns we should be aware of? *

Does child #3 have any behavioral or social concerns we should be aware of? No yes
If "yes" above, please explain. If none write, "none". *
Does child #3 have an IEP, 504 Plan, or other behavioral support plan? (If yes, you may provide a copy if you feel it would be helpful.) *

Does child #3 have an IEP, 504 Plan, or other behavioral support plan? (If yes, you may provide a copy if you feel it would be helpful.) No Yes
You may upload child #3's IEP, 504, or behavioral support plan here.

Attach Files
If you would like Yarmouth School Department to be able to communicate child #3's IEP, 504, behavior plan or other needs with Yarmouth Community Services, please sign the YSD Release of Information waiver which can be found on our website below:
Child #4 Name Child #4 Name * First Last
Child #4 age as of June 16, 2025 *
Child #4 grade for 2025-2026 school year *
Select all camps child #4 is registered for *

Select all camps child #4 is registered for All Sports Camp All Star Girls' Camp Anglers Camp Boys MS Hoops Camp Bread & Roses Art Camp Cheer Camp Clipper Day Camp Rowe Clipper Day Camp YES Clipper Lightning Soccer Camp Colt's Soccer Camp Dribble Doc Camp Football Camp Freedom of Expression for Girls Camp Fun Chef's Camp Garden Explorer Camp Get Out and Go Camp Girls MS Hoops Grand Slam Tennis Camp High Touch High Tech Camp Jr. Clipper Basketball Camp Lightning Baseball (Edge) Camp Mad Science Camp MakerSpace Camp Pickle Buddies Camp Robotics Camp Sculpture Camp SeaSpray Kayaking Camp Softball Camp Strategy Games Camp Summer Adventure for Girls Camp Summer Fun Camp Thread and Trend Camp Track and Field Camp Youth Lacrosse Camp
Does child #4 have permission to walk or bike home from camp? (select one) *

Does child #4 have permission to walk or bike home from camp? (select one) Yes - On their own, at any time Yes - On their own, at the end of the program Yes - On their own, after a parent text/call or specified time Yes - Only with sibling/s, at any time Yes - Only with sibling/s at the end of the program Yes - Only with sibling/s after a parent text/call or specified time No - My child will be picked up by a parent/guardian each day Other Other
Does Child #4 need to take medication at camp? *

Does Child #4 need to take medication at camp? No Yes - See medication form at the bottom of this form
Behavioral and Social Considerations
To help us create a safe and positive experience for all participants, please share any behavioral, emotional, or social concerns we should be aware of (e.g., anxiety, ADHD / ASD, sensory sensitivities, difficulty with transitions, past behavioral challenges, etc.). This information will help our staff provide appropriate support and accommodations
Does child #4 have any behavioral or social concerns we should be aware of? *

Does child #4 have any behavioral or social concerns we should be aware of? No yes
If "yes" above, please explain. If none write, "none". *
Does child #4 have an IEP, 504 Plan, or other behavioral support plan? (If yes, you may provide a copy if you feel it would be helpful.) *

Does child #4 have an IEP, 504 Plan, or other behavioral support plan? (If yes, you may provide a copy if you feel it would be helpful.) No Yes
You may upload child #4's IEP, 504, or behavioral support plan here.

Attach Files
If you would like Yarmouth School Department to be able to communicate child #4's IEP, 504, behavior plan or other needs with Yarmouth Community Services, please sign the YSD Release of Information waiver which can be found on our website below:
YCS SUNSCREEN POLICY

1. YCS does not provide sunscreen for participants as it is a medication and some participants may have allergies to some ingredients in certain sunscreens. Each participant needs to bring his or her own. If a camper does not have their own sunscreen they will not be allowed to participate in outside activities.

2. Participants should arrive at programs with a thick base coat of sunscreen already applied, especially in hard to reach areas, such as their backs.

3. Staff will remind participants regularly to reapply sunscreen every 2 hours: 10 am, 12 pm and 2 pm.

4. We encourage campers to wear hats to protect their heads and shirts to protect their backs. This is especially important if your child has sun sensitivities.

REMINDER FOR PARENTS:
Please apply the first application of sunscreen at home. Sunscreen should be supplied by you, the parent.

I understand that selecting “yes” allows YCS staff to apply sunscreen to my child and if my child does not have sunscreen on they will not be able to participate in outdoor camp activities.
Do you give permission for your child/children to have sunscreen on for outdoor activities *

Do you give permission for your child/children to have sunscreen on for outdoor activities Yes No Other Other
PARENT / GUARDIAN INFORMATION
Parent / Guardian #1 Name Parent / Guardian #1 Name * First Last
Parent / Guardian #1 Email *
Parent / Guardian #1 Cell Phone Parent / Guardian #1 Cell Phone * - ### - ### ####
Parent / Guardian #1 Work Phone Parent / Guardian #1 Work Phone * - ### - ### ####
Parent / Guardian #1 Home Phone Parent / Guardian #1 Home Phone - ### - ### ####
Parent / Guardian #2 Name Parent / Guardian #2 Name First Last
Parent / Guardian #2 Cell Phone Parent / Guardian #2 Cell Phone - ### - ### ####
Parent / Guardian #2 Work Phone Parent / Guardian #2 Work Phone - ### - ### ####
Parent / Guardian #2 Home Phone Parent / Guardian #2 Home Phone - ### - ### ####
EMERGENCY CONTACTS
Emergency Contact #1 Name Emergency Contact #1 Name * First Last
Emergency Contact #1 Relationship to Child(ren) *
Emergency Contact #1 Primary Phone Number Emergency Contact #1 Primary Phone Number * - ### - ### ####
Emergency Contact #1 Secondary Phone Number Emergency Contact #1 Secondary Phone Number - ### - ### ####
Emergency Contact #2 Name Emergency Contact #2 Name * First Last
Emergency Contact #2 Relationship to Child(ren) *
Emergency Contact #2 Primary Phone Number Emergency Contact #2 Primary Phone Number * - ### - ### ####
Emergency Contact #2 Secondary Phone Number Emergency Contact #2 Secondary Phone Number - ### - ### ####
PHYSICIAN / HOSPITAL / INSURANCE INFORMATION
Child(ren)'s Physician Name Child(ren)'s Physician Name * First Last
Child(ren)'s Physician Phone Number Child(ren)'s Physician Phone Number * - ### - ### ####
Preferred Hospital *
Medical Insurance Carrier *
Medical Insurance Policy Number *
Medical Insurance Phone Number Medical Insurance Phone Number * - ### - ### ####
AUTHORIZED PICK-UP LIST

The following people should be allowed to pick-up my child(ren)
Authorized Pick-up Person #1 Authorized Pick-up Person #1 First Last
Authorized Pick-up Person #2 Authorized Pick-up Person #2 First Last
Authorized Pick-up Person #3 Authorized Pick-up Person #3 First Last
Authorized Pick-up Person #4 Authorized Pick-up Person #4 First Last
Authorized Pick-up Person #5 Authorized Pick-up Person #5 First Last
UNAUTHORIZED PICK-UP LIST

The following people should NOT be allowed to pick-up my child(ren)
Unauthorized Person #1 Unauthorized Person #1 First Last
Unauthorized Person #2 Unauthorized Person #2 First Last
Permission to Administer Medication

While medication should ideally be administered at home, we understand that some participants may require medication during the program. In such cases, the following procedures must be followed:

Medication Submission: All medications, both prescription and over-the-counter, must be submitted to the Program Staff along with a signed authorization form.

Self-Administration: Participants must be instructed at home or by their healthcare provider on how to self-administer the medication under the supervision of Program Staff.

Medication Packaging: Medications must be in an unbreakable, properly labeled container that includes the participant’s name, medication name, dosage, and administration time. The amount provided should not exceed a single program day's dosage.

Storage and Supervision: Medications will be securely stored and made available to participants at the designated time. Program staff may assist with opening childproof caps if necessary but will not administer medication.

Field Trip Protocol: During field trips, medications will be kept in the possession of the Program Instructor to ensure proper handling and availability.
Child #1 Name *
Name of Medication/s (list all that apply) *
Reason for Medication/s *
Dosage and time(s) to be given *
Are there any side effects that staff should be aware of? *
Child # 2 Name *
Name of Medication/s (list all that apply) *
Reason for Medication/s *
Dosage and time(s) to be given *
Are there any side effects that staff should be aware of? *
Child # 3 Name *
Name of Medication/s (list all that apply) *
Reason for Medication/s *
Dosage and time(s) to be given *
Are there any side effects that staff should be aware of? *
Child # 4 Name *
Name of Medication/s (list all that apply) *
Reason for Medication/s *
Dosage and time(s) to be given *
Are there any side effects that staff should be aware of? *
I hereby request the Yarmouth Community Services’ staff to provide the above medication at the time(s) indicated for my child/children to self-administer. I am aware that this medication will be dispensed by non-medical, recreation personnel. I hereby agree to release and hold the Yarmouth Community Services, its agents and employees harmless from any and all claims, including negligence, which may arise as a result of the administering of the medication.

Draw your signature into the box below. *

Clear

2025 Summer Camp Forms

2025 Summer Camp Forms

YCS SUNSCREEN POLICY

PARENT / GUARDIAN INFORMATION

EMERGENCY CONTACTS

PHYSICIAN / HOSPITAL / INSURANCE INFORMATION

AUTHORIZED PICK-UP LIST

UNAUTHORIZED PICK-UP LIST

Permission to Administer Medication