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Each camper must have a comprehensive insurance policy
in effect at all times when enrolled at Melody Pines. A copy of the insurance
card for Camper (front and back) must be submitted with your application.
In addition, the State of New Hampshire REQUIRES that
we have a statement on file, prior to your child's start at camp, signed
by your physician and indicating the following:
1. That your child has had a complete physical within
the last 2 years.
2. That your child's immunizations are up to date.
3. The date of your child's most recent tetanus shot.
If your doctor's office does not provide you with such
a statement or record at your child's physical, please download the Universal
Health Form for Camp and bring it to your doctor's office to
be completed.
In addition, doctor's orders must be
provided in order for all prescription and non-prescription
medications to be administered.
Failure to sign the medical sections of your registration
will cause your application to be returned UNPROCESSED.
You will need Acrobat Reader in order to download this PDF document. To
get Acrobat, click
here.
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