Emergency Contact

Emergency Contact

Should an emergency arise between the hours of 8:00am and 7:00pm, please contact the Camp Office immediately at 610-989-1262. If the emergency should occur at night between the hours of 7:00pm and 8:00am, please contact the Officer-in-Charge at 610-989-1518. The Health Center’s phone numbers are 610-989-1515 and 610-989-1518.

Appendix B – Emergency Contact Form

**Please complete and submit prior to June 1, 2012**

Camper: _____________________________       ID #: ____________

 

Primary Contact Name: ____________________________

Relationship to Camper: ____________________________

Day Phone: ______________ Night Phone_____________

Email Address____________________________________

Primary Address: _________________________________

City/State/ZIP ____________________________________

 

Secondary Contact Name: __________________________

Relationship to Camper: ____________________________

Day Phone: ______________ Night Phone_____________

Email Address____________________________________

Secondary Address: _______________________________

City/State/ZIP ____________________________________

 

Tertiary Contact Name: __________________________

Relationship to Camper: ____________________________

Day Phone: ______________ Night Phone_____________

Email Address____________________________________

Secondary Address: _______________________________

City/State/ZIP ____________________________________

Allergies:  _______________________________________