• 1-800-SEACAMP
Diabetic Information Form - Day Camp

Diabetic Information Form - Day Camp

Please provide additional information regarding student's Type 1 Diabetes diagnosis. Based on responses SEACAMP San Diego may ask for additional information and/or a Physician's Release for Activities.
Student manages diabetes through use of
As the parent/guardian of above student
As the parent/guardian of above student
As the parent/guardian of above student

Parent/Guardian Signature

Electronic Signature Consent
09/26/2022