Overnight Camp Covid Test Consent Form – The Wayfinder Experience

Children's Camp Operators must obtain parental consent to administer or obtain COVID-19 testing for a camper. There are two kinds of tests for COVID-19: the PCR test and the antigen test (also known as a rapid test). Both tests require a specimen (sample) be collected (taken) from the person being tested. The sample is then tested to find out if the person has СOVID-19. How a sample is collected depends on the type of test being used.

Only campers whose parents/guardians have signed this consent form will be tested.

COVID-19 Testing will be done at:*

Holmes Camp & Retreat Center, Holmes, NY

The following type of sample will be collected*

Nasal Swab (front/sides of nose) collected by camper with supervision from trained healthcare personnel.

To be completed by Parent/Guardian

Camper Name*

First Last

camper birthday*

Address*

Street Address Address Line 2 City State ZIP Code

I give permission to:*

Collect a sample from my child and test for COVID-19. I understand the camp will notify me if my child's test is negative by email or phone call. If my child's test is positive for COVID-19, I will be notified by phone call. I understand that my child's test results and other information may be disclosed as permitted by law.

Parrent/Guardian Name*

First Last

Signature*

Phone*

Covid Testing Consent Form

To be completed by Parent/Guardian

Our Program

Our Staff

General Info

Staff Forms

Contact Info