Consent Form

This form is to be completed by participants attending any Kutztown University sponsored Camp/Conference/Clinic/Event.

Medical Form

This form is to be completed for any camp/clinic/conference participant under the age of 18.

Please Note: Conferees may not utilize our health center facility without this completed form.

When are forms due?

Forms are due 2 weeks prior to the start of the camp/clinic.

  • 1. Forms can be scanned and emailed to
  • 2. mailed to:
  • Kutztown University
  • Athletic Camps/Clinics
  • 105 Keystone Hall
  • Kutztown, PA 19530
  • 3. Faxed to: 610-683- 1379

What are the required forms?

Every camp/clinic has 2 required forms which are the Consent Form and Medical Form.

The Consent Form must be signed by both the parent and participant.

The Medical Form must be filled out and signed by the parent.

***Individuals are not allowed to participate in the camp/clinic if these forms are not submitted.***