YOUTH MEDICAL FORMS

Summer Camp 2025

All completed forms are to be sent to the following email address prior to the first day of camp:

docs@theurbanfarm.org

The Urban Farm (TUF) is a licensed Childcare Center located in Denver, Colorado.

Per requirements of the license(s) as issued by the City and County of Denver and the State of Colorado, TUF is mandated to collect specific medical and immunization records for all youth participants of its Summer Camp. Links to download each form may be found below.

Required forms for all youth campers:

1. PHYSICAL / MEDICAL RECORD

   • A completed physical or medical record must be provided for each camper

   • Physicals must be dated within one year of camp enrollment and signed by both the parent / guardian and the child’s medical provider

   • If there is no physical or medical record available that meets the criteria above, parents may complete the form located here:

     • General Health Appraisal Form

2. MEDICATION APPLICATION AUTHORIZATION

• It is highly recommended that all required medications are administered either prior to or after TUF Summer Camp

• If ANY medication is deemed necessary as identified in the provided physical and/or General Health Appraisal Form (this includes epipens, ibuprofen, etc.), a Medication Application Authorization form must be completed and returned in order for TUF staff to administer medications during camp

• If medications are necessary but you do not wish for TUF staff to administer them while your child is at camp, a Refusal to Provide Medication form must be completed and returned

  • Refusal to Provide Medication Form here

3. IMMUNIZATION RECORD FORM

• All campers must provide records of immunizations, as is required by the City and County of Denver and State of Colorado’s childcare license

• Records of immunizations must be dated within one year of camp enrollment and signed by both the parent / guardian and the child’s medical provider

• If there is no previously completed immunization record available, an Immunization Record Form may be completed and returned; Immunization Record Form located below

  • Immunization Record Form

• TUF will accept a notice of exemption from immunization, so long as the form is one of the provided standard forms available on the Colorado Department of Public Health & Education website

4. SUNSCREEN PERMISSION FORM

• The State of Colorado requires all children at Summer Camp to be adequately protected from the sun

• All parents or guardian must complete the form in order to grant TUF permission to apply sunscreen to your child or to deny permission to do so

  • Sunscreen Permission Form

All completed forms are to be sent to the following email address prior to the first day of camp:

docs@theurbanfarm.org

TUF will accept all forms and forms of the same purpose that are dated and signed by BOTH parent/guardian and the medical care provider within one year of the youth’s last day of camp. Forms may also be completed and turned in physically to TUF Staff upon the first day of camp for each youth.

If there are any changes to the medication or application of medications to a youth camper during their camp at TUF, please communicate with TUF Camp Staff directly either in person, or at the following contact info: camp@theurbanfarm.org or (720) 414-6141

All questions about required medical information for youth or the affiliated forms may be addressed to the contact information provided above. We look forward to hosting your campers for a fun, safe, and inclusive Summer at TUF!