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Sample Camp Documentation
Empty headinSamples of Required Documents
NOTE: The following are samples of documents required for camp policies. Please check the most current recreational program regulations (105 CMR 430) and the inspection checklist to ensure that your policies also meet the most current standards set by the MA Community Sanitation Program.
Permits
- Certificate of Inspection from Building Department 1
- Certificate of Inspection from Building Department 2
- Sample Compliance Checklist from Local Fire Department
- Bacterial Analysis Report
Camp Policy
- Staff and Volunteer Background Check Policy
- Staff and Volunteer Background Check Procedures
- Sex Offender Registry Information (SORI) Request
- Staff and Volunteer Orientation and Training Plan and Overview
- Abuse and Neglection Prevention/Reporting Procedures
- Camp Discipline Policy
Camp Plans
- Fire Drill Checklist
- Fire/Emergency Evacuation Plan
- Lost Participant/Lost Swimmer Procedure
- Emergency Evacuation Traffic Control Plan
- Emergency Plans and Fire Prevention Checklist
- Special Contingency Plans (No show, unregistered participant, participant not at pick-up)
- Unrecognized Persons Policy
- Emergency Plans for Incidents and Natural Disasters
- Camp Pick Up Authorization Form (Template)
Promotional Literature for Parents/Guardians
- Parent Right to Review Template
- Participant Pick-Up Policy
- Authorized Persons to Pick Up Child Form (to be completed by parents/guardians)
- Meningococcal Disease FAQs
- Immunization Requirements
- Mildly Ill Campers Policy
Staff Qualifications
Medical Documents and Policies
Medical Personnel
- Medication Administration Competency Skill Checklist 2024
- Standards for Training Health Care Supervisor in Medication Administration 2024
- Standards for Training healthcare Supervisor and Other Employees on Use of Epinephrine Auto-Injectors 2024
- HCC Acknowledgement of On-Site Medications
- Sample HCC Acknowledgement of On-Site Medications
- Healthcare Consultant Agreement
- How to Recognize and Respond to Anaphylaxis
- Guidelines for the Storage and Administration of Meds in Camps
- Parent Authorization to Administer Medications to a Camper
- Sample Daily Log for Medication Administration
- Administration of Epinephrine Auto Injector Competency Checklist 2024
- DPH Standards to Administer Diabetes Medication 2024
- Administration of Diabetes-Medication-Competency-Checklist 2024
- Meningococcal disease - According to Massachusetts General Law, this state Department of Public Health fact sheet must be given to all parents or guardians of children in youth camps.
Medical Policies and Procedures
Sample Health Care Policies- Camp Training Sample
- Class A and Class B First Aid Kits
- Infection Control Plan Sample
- Medication List Sample
- Written Order for Medication Administration Sample
- Written Standing Orders Sample
- Sample Injury Report Form Template 1
- Sample Injury Report Form Template 1
- Injury Report Form Policy
- Medication Storage and Administration Requirements
- Sample Advisory to Parents Regarding Required Authorization to Administer Meds to Campers
- Sunscreen Permission Form (Template)
- Insect Repellant Permission Form (Template)
Medical Records
- Parent/Guardian Authorization to Administer Medication to a Camper
- Injury Report Form
- Communicable Disease Reporting Form
Aquatics
- Christian's Law and Waterfront Requirements
- Swim Test Form Template
- Virginia Graeme Baker Act
- Mass.gov: the VGB Act
- VGB Q&A and sample replacement log
- VGB sample certificate of compliance
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Laundry
Grounds
- Emergency Communication System Policy
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| Permit Applications |
Fee |
|---|---|
| Recreational Camp |
$200.00 |