Navigate to <https://apps.younglife.org/HCForm/Account/Login.aspx>

If you haven't done a health form before, click "Create an Account". Otherwise you can log in or choose "Forgot User Name or Password"

Once you've logged in, you can either create a new form, or make a copy of a previous form if you've been to Young Life summer camp before.

If you are making a copy, choose "Same Individual" & if you want to upload new immunization records.

Choose your signature (parent / guardian's if under 18)

-- Please select a camp --
Adventures Baja, MX
Adventures Wild Ridge
Beyond Malibu
Carolina Point
Castaway Club
Clearwater Cove
Crooked Creek
Lake Champion
LoneHollow Ranch
Lost Canyon
Malibu Club
Pioneer Plunge
Rockbridge
Saranac Village
SharpTop Cove
Southwind
Timber Wolf Lake
Trail West
Washington Family Ranch Canyon
Washington Family Ranch Creekside
Wilderness Ranch
Willow Springs
Windy Gap
Woodleaf

Select your guest type (e.g., camper, leader, adult guest, summer staff, etc)

-- Select a Guest Type --
Adult Guest
Adult Guest Host
Assignment Team
Assignment Team Family
Camp Staff
Camper
Leader
Medical Staff
Nurse/EMT
Physician
Summer Intern
Summer Staff
Work Crew

Choose your camp week or session (may not include travel dates).

-- Select a camp session/week --
6/15/2025 - 6/20/2025
6/21/2025 - 6/26/2025
6/27/2025 - 7/2/2025
7/6/2025 - 7/11/2025
7/12/2025 - 7/17/2025
7/18/2025 - 7/23/2025
7/25/2025 - 7/29/2025
7/30/2025 - 8/3/2025
8/4/2025 - 8/8/2025
8/9/2025 - 8/13/2025

Go through each page & be sure to fill out any "required" information.

State
Please select a state
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
District of Columbia
West Virginia
Wisconsin
Wyoming
----------------
Alberta
British Columbia
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Manitoba
District of Columbia
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
American Samoa
Guam
Northern Mariana Islands
Puerto Rico
Virgin Islands

At the end of each page, choose "Save and continue"

Click this checkbox. At the end you will receive a PDF medical signature form to give to a doctor of nurse to fill out!

I acknowledge that I must obtain a physician, nurse practitioner or physician’s assistant signature on the Physician Signature Amendment (available after the submission of this form) due to one of the conditions listed below. I will print the Physician Signature Amendment, obtain a physician's signature on the printed form and fax the completed form to Young Life at the fax number provided on the form. A physician's signature is required if one or more of these conditions is true for the individual listed on this form:

If you are missing anything, you will see an orange X. Click on that X to go back to that page to correct anything missed.

Once corrected, hit "Save and Continue" & then you can click the 9 on the top to go to the last page.

Click "View (Printable) Physician's Signature Amendment". Print this form and take to a doctor, NP, or PA to sign. NOTE: For Castaway, you can also have a RN or BSN sign this form!

View (Printable) Physician's Signature Amendment

If you need to access that form again, you can log back in at [https://apps.younglife.org/HCForm/Account/Login.aspx ](https://apps.younglife.org/HCForm/Account/Login.aspx)

How To Complete Castaway's Health Form