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In order to participate in camp, each camper must submit record of a physical exam.

This form must:

• Be submitted before the first day of camp
• Be signed by a licensed physician
• Have been completed within the last year of the camp date
• Include immunization records
• Examples can include school or pediatrician physical evaluation forms

Please send physical exam forms to Mike DeFazio (mhd2009@columbia.edu) before the first day of camp.

Note: if you do not have a current copy of a physical exam, you can ask your doctor to complete this form