Civil War Adventure Camp Required Medical Waiver

 

Medical History Form





Hay FeverAsthmaPoison Ivy/OakInsect StingsFoodOther










Yes, I Agree.No, I Do Not Agree.




Yes, I Agree.No, I Do Not Agree.


 

You may submit this for electronically, or print it and FAX or mail it to us at:

The Civil War Adventure Camp
Pamplin Historical Park
6125 Boydton Plank Road
Petersburg, VA 23803

fax: (804) 861-2820