TARA SUMMER YOUTH CAMP MEDICAL FORM
		_____________________________
		camper's name

Please Print, complete and return or fax to:
Tara Wildlife
6791 Eagle Lake Shore Road
Vicksburg, MS 39183
(601) 279-4261 fax: (601) 279-4227

Dear Parents,

This year Tara will not require physicals for campers. However, we strongly urge that you have your child’s health evaluated prior to the camping experience. Although Tara’s youth camps are not unusually demanding, the health and capabilities of your child are important to all of us. Please list any known health problems and medications which will require our attention. We will make a best effort to ensure your child’s health and safety.

TARA WILDLIFE

Please present this completed form upon check-in.

Parent’s Signature:_______________________________