Yankee Clipper Council - Boy Scouts of America

The Council Service Center will be closed starting 1pm on Wednesday, November 26th, and reopening 9am on Monday, December 1st.
 
The Service Center will also be closed on December 5th from 11am to 1pm.

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Medical Forms

The Annual Health and Medical Record

This is a link to the fillable PDFs. Am medical form is required for all Scouts, Leaders, Tot-Lot-Participants, Girl Scouts. & volunteers. Please read all instructions carefully.

Permission to Administer Medication as Camp

Medication Authorization is required for all Camping Programs held in Massachusetts. (West Wind & MoonRaker Day Camps Only)

What form do you need for what Yankee Clipper Council camp program?

All participants attending any of our camp programs must bring a copy of both sides of their Medical Insurance Cards. This includes leaders, parents, guests and young children. If you don't have insurance enter none at the appropriate space on the BSA Medical Form.

Boy Scout Camp

Wah-Tut-Ca Scout Reservation BSA Annual Health and Medical Record Parts A, B, & C
Wah-Tut-Ca Extreme Programs BSA Annual Health and Medical Record Parts A, B, & C
Boy Scout EAGLE Week (Lone Tree Scout Reservation) BSA Annual Health and Medical Record Parts A, B, & C

Cub Scout and Webelos Camps

Bridge to Boy Scout Camp BSA Annual Health and Medical Record Parts A, B, & C
Lone Tree Cub Scout Resident Camp BSA Annual Health and Medical Record Parts A, B, & C
Webelos Overnight - Camp So-Key-Tay BSA Annual Health and Medical Record Parts A, B, & C
Lone Tree Day Camp BSA Annual Health and Medical Record Parts A, B, & C
Discovery Cub Scout Science Camp BSA Annual Health and Medical Record Parts A, B, & C
Cub Overnight Weekend BSA Annual Health and Medical Record Parts A & B
Weekend Adventures BSA Annual Health and Medical Record Parts A & B
West Wind Day Camp, Chelmsford MA*
BSA Annual Health and Medical Record Parts A, B, & C
Authorization To Administer Medication To A Camper
Updated Immunization Record (Provided by Physician) including date (MM/YY) of last tetanus shot)
MoonRaker, Topsfield MA*
BSA Annual Health and Medical Record Parts A, B, & C
Authorization To Administer Medication To A Camper
Updated Immunization Record (Provided by Physician) including date (MM/YY) of last tetanus shot)
* All Camps held in Massachusetts requires Authorization To Administer Medication To Camper inaccordance with 105 CMR 430.160.
* All Camps held in Massachusetts requires an updated Immunization Record, provided by Physician including last tetanus shot date (MM/YY)

© Copyright 2013 Yankee Clipper Council - 36 Amesbury Rd. Haverhill, MA 01830-2802
Tel: 978.372.0591 - Fax: 978.373.9134 - OFFICE HOURS 9 am to 5 pm Monday through Friday

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