We are required to have the following information for each child enrolled in the Discovery Program, Junior Historian, and Naturalist Leadership Program at least two weeks prior to the session’s start date. Please submit the below information if you have not already done so as part of our online registration process. Necessary forms include:
Medical Release/Pick Up Form
Starting in 2016, this form is now a part of the registration process. Only volunteers should submit this form using the data entry fields below. DO NOT USE THE MEDICAL FORM BELOW FOR DISCOVERY CAMP OR THE NATURALIST LEADERSHIP PROGRAM. THIS IS NOW A PART OF THE REGISTRATION PROCESS.
This can be no more than 2 years old. This must contain the details of the physical. A note saying your child had a physical will not be sufficient.
Current list of immunizations (* provided by health care provide)
Oftentimes, the physical and immunization records are within a single document provided by your doctor. Your doctor is welcome to fax them to us directly at 508-228-1031. If your doctor does not want to share their own form, which happens rarely, you can download our health history form located below and have your doctor fill that out instead. This document must be both signed and stamped by the doctor’s office and contain details for the physical and immunization records.
Health History Form (* provided by health care provider) see details immediately above.
Please Note: No child will be allowed to participate in our programs without our administration receiving ALL of the completed registration and medical information. MMA reserves the right to cancel – without refund – any camper’s spot if the information is not received prior to two weeks before the session’s start date.
Medical Authorization Form
If your child requires medication to be administered while they are attending a Discovery class, you must add the medication details on the medical release/pick-up form and submit an Authorization to Administer Medication form at Monday drop-off. This includes any epi-pens, inhalers, and other such medications. If we do not receive the authorization form, we will not be able to help your child with their medication.
- The medicine must be brought to camp in a clear, re-sealable plastic bag with the camper’s name written on the outside in permanent marker and the medicine must be in its original container, have the original label placed on it by the pharmacy, and clearly display the name of the camper. Each parent or guardian should discuss the medical needs of the camper with the camp instructors.
Please contact Kim Botelho, Education Director at firstname.lastname@example.org with any questions. Thank you for helping us keep your children safe!
Medical Release/Pick Up Form
After submitting the form properly, you will receive a confirmation email. If you do not get the email, MMA did not receive your form. Please check all fields and resubmit.