Forms and Resources for Youth Camps

Apply for a license

• License Application

Apply for director/alternate director approval

• Youth Camp Director Application (online form)
• Look Up a Youth Camp Director Approval Number

Background checks

• Statutory requirement
• Get a Background Check

Change or update your license/approval

• Notification of change for youth camps (online form)

Director qualifications

• Director of Archery
• Director of Aquatics
• Director of Challenge Course
• Director of First Aid
• Director of Horseback Riding
• Director of Shooting Sports
• Director of Small Craft Waterfront

Inspections

• Inspection Form (Sample)
• Corrective Action Plan and Resolving Disputed Violations
• Guide to Inspections and Licensing
• Guide to the Child Care and Youth Camp Investigation Process

Record keeping and postings

• Important Phone Numbers
• Sample forms:
  • Staff Roster
  • Fire Marshal’s Certificate of Approval Form
  • Vehicle Safety Inspection Form

Health records

• Early Childhood Health Assessment Record (Birth to Age 5)
• Health Assessment Record (School Age)
• Immunization Requirements Schedule
• Sample forms:
• Religious Exemption Statement
• Health Exam Records for Campers and Staff

Medication and care plans

• Authorization for Administration of Medication
• Checklist for Special Medication Authorization Request
• Guidance Regarding Individual Plans of Care
• Potassium Iodide (KI) Authorization Form and Fact Sheet
• Sample Forms:
  • Individual Plan of Care
  • Written Approval for Administration of Medication Training Certificate for Youth Camps
  • Medication Administration Record (MAR)

Watch our Administration of Medication video for more information

Mandated reporting

• Incident Report (online form)
• DCF 136 form – report of suspected child abuse or neglect
• DCF mandated reporter online reporting portal
• DCF mandated reporter training

Health and safety resources

• Connecticut Epidemiologist, Vol. 30, No. 4, Rabies Surveillance Update (CT Dept. of Public Health)
• Connecticut Epidemiologist, Vol. 30, No. 7, Animal Testing for Potential Human Rabies Exposures (CT Dept. of Public Health)
• Don’t Let a Tick Make You Sick! (CDC)
• Lyme Disease (CDC)
• Mosquito Management Program: Frequently Asked Questions (State of CT Mosquito Management Program)
• Most Commonly Asked Health Questions and Answers
• Norovirus Protection at Youth Camps (CDC)
• Protection Against Mosquitoes, Ticks and Other Insects & Arthropods (CDC)
• Reportable Disease List
• Reporting Camp Outbreaks and Disease
• Seasonal Water System Start-up Guidelines (CT Dept. of Public Health)
• West Nile Virus (CDC)

For information and resources concerning congenital cytomegalovirus, lead, bed bugs, and other related topics, please visit the CT Department of Public Health (DPH).

For information and resources for license exempt programs administered by public/private schools or municipalities that receive Care 4 Kids subsidy, visit Care 4 Kids.

Videos

Administration of medications