Step 1

1. Click the link below.

2. Click the orange “SUMMER Camping Health, Consent and Release Form” link.

3. Click “Create an Account” and fill in the blanks.

4. Click the Create New Form button.

5. Create your online signature.

6. Complete each page of the form, then click the Submit Form button.

You will need the following information to complete the form:

  • Camp name – Clearwater Cove

  • Camp dates – July 20-24, 2019

  • Home area – AG377

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

  • Health history including immunization record.

5.  Make sure you click SUBMIT!!  

Step 2

Get a copy of your insurance card and Immunization record (if not entered on/attached to online form) to me. Please make every effort to get it completed by May 30.
Our address is 9150 W. 92nd Street Overland Park, KS 66212. My email is THANK YOU!!!!!