2022 Camper Forms

  1. Please read and reread the Deaf/KODA Program Checklist.
  2. When asked to fill out the forms - please fill out the forms completely as much as you can.
  3. Please note that your child(ren)'s medical form must be fully filled out by the physician less than a year from the program start date. We cannot accept a medical form that is over 1-year-old.
  4. Don't forget to send a copy of the insurance card (front and back), CDC COVID vaccination card, and a list of immunizations for EACH camper.
  5. The transportation form is an online form you can fill out at: https://goo.gl/forms/Gqr6QWeByM0eY8YV2. Arrival time needs to be between 10am and 2pm. Departure time needs to be between 9am and 12pm. Please see the form for more information.


  1. DEAF/KODA Form Checklist
  2. General Camper Form
  3. Medical Form
  4. Meningococcal Meningitis Vaccination Form
  5. Permissions/Authorizations Form
  6. Code of Conduct Form

All forms MUST be mailed to:


PO Box 124

Pittsford, NY 14534

Use this address until June 8th

(note that this is not the summer mailing address!)