Please click on the following links to either complete the form online or to download:

These forms are mandatory for your child to attend our program. Please fill these out by May 31st, 2021. If you registered after May 31st, please fill out these forms at least one week prior your registered week of camp. For example, if you registered for Week 3, forms need to be submitted by the first day of Week 2.

About My Child (complete online)

Camper Health History (complete online)

Parent/Guardian Communication Form (complete online)

Immunization Form (download to complete)

Completed Immunization/Exemption (upload here)

Ropes/Photo/Liability Waiver (complete online)



These forms are only necessary if your child has the following conditions:

Allergy Action Plan

Asthma Action Plan

Seizure Action Plan

Medication Administration Form

Please send these forms to Mira at tiyul@pearlstonecenter.org


Questions? Contact Mira at tiyul@pearlstonecenter.org