Health Form - Our Health Form consists of five pages. 
 
   Page 1 - Health Form

   Page 2 - Health Form

   Page 3 - Health Form

   Page 4 - Health Form

   Page 5  - Health Form

Completed applications can be mailed to:

    Easter Seals Camp KYSOC
    1902 Easterday Road
    Carrollton, KY 41008

Our fax number is (502) 732-0783