Medical Form
Step 3
To be fully registered, you must complete all three steps below. If you have not complete steps one and two, please do so before filling out the medical form.
3 Steps to Registration
Step 1: Complete your payment.
Step 2: Fill out Registration Form.
Step 3: Fill out Medical Form below. Including scanned copy of vaccination record.
Medical form
IMMUNIZATION RECORDS: New Jersey Youth Camp Standards (N.J.A.C. 8:25) require students to be immunized with the vaccinations as appropriate for the student’s age. An immunization schedule can be found here. Fiddleheart requires a copy of immunization records from a physician’s office or a valid medical and/or religious exemption from immunization. Fiddleheart All students must provide ONE of the following prior to the first day:
a copy of current, up-to-date immunization records from a physician’s office
if not up-to-date, a copy of current immunization records from physician’s office AND
an official letter from a physician indicating that immunization is in progress.documentation of a valid medical and/or religious exemption from immunization
IMPORTANT~ Please scan or photograph and email this documentation to: headmistress@fiddleheartmagic.com. STUDENTS CANNOT ATTEND FIDDLEHEART WITHOUT THIS DOCUMENTATION.
When filling out the form:
The form does not automatically save. Please allow enough time to fill out the form fully.
Don't forget to hit the SUBMIT button once you have complete the form. Thank you!
Don’t forget: We need documentation of immunization records AND Covid vacination emailed to headmistress@fiddleheartmagic.com prior to the first day of camp.