Kesem K LogoCamp Kesem Summer Document Upload

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File Selection

Please upload all files as a single PDF per upload type if possible (ex: one file for Camper MARS, one file for Camper Roster, etc.). If you are unsure how to convert your file to a PDF, please use this free online resource. If you are needing to merge your PDF files, here is a link to a free merge tool.
Camper Roster

If you have more than one file to upload, select the 'Add another response' option to the right.

Counselor Roster

If you have more than one file to upload, select the 'Add another response' option to the right.

Camper MARs

If you have more than one file to upload, select the 'Add another response' option to the right.

Counselor MARS

If you have more than one file to upload, select the 'Add another response' option to the right.

Additional Documents

If you have more than one file to upload, select the 'Add another response' option to the right.

Insurance Claim Form


Camper Claim
















Situation Characteristics





Treatment Details









Staff Claim











Situation Details









Injury Details










Employment Details





Situation Report Form



Yes No




Name of hospital, any prescription meds given, who drove to facility, billing details at hospital, CPS Case number, summary of CPS call, etc.



By signing this situation report, you acknowledge that all information above is correct and complete to the fullest extent of your knowledge.