Camp Caravan – Severe Allergy Alert Form

To be completed by Parent/Guardian. This form enables Camp Caravan staff to provide medical attention to your child during a severe allergic reaction or asthma attack.
    Select the week(s) that your child will attend camp.
  • Participant Information

  • * must be carried with the child at all times
  • I understand why I have been asked to disclose the above information. I voluntarily agree that VBS Caravan/St. Andrew’s may share this information, as necessary, with the Staff/Volunteer leaders, as well as health providers.
  • Date Format: MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.