~If there are ANY changes to the prescriptions listed above (type, dosage, directions etc) prior to camp, a doctor's note specifying the changes must be provided to the camp nurse at registration or emailed to us by 4 June 202 If this is not provided, the child will NOT be permitted to go to camp until the documents are received. Verbal confirmation by the parent will no longer be accepted!~

I understand that it is my responsibility as a caregiver to make sure of the following: all instructions are clear, the necessary dosage is adequately supplied for the duration of camp (12-16 June 2023) and each medication is in its original container. I hereby give the Royal Family Kids’ Camp Licensed Registered Nurse permission to administer the child’s medication as instructed on page 3 and will notify the nurse of any changes in medication, dosages, etc the day of registration.

PERMISSION TO ADMINISTER OVER-THE-COUNTER MEDICATIONS.

I hereby give the Royal Family Kids’ Camp Licensed Registered Nurse permission to administer the child’s medication as instructed on page 3 and will notify the nurse of any changes in medication, dosages, etc the day of registration. The nurse is authorized to administer the following products according to manufacturer’s instructions, or as otherwise specified. I trust the RFKC Licensed Registered Nurse to use her best judgment as situations arise, and if in doubt, he/she can call for verification.

Please check YES or NO for the medications listed below This form must be completely filled out by the primary caregiver (who signs below), or the camper may not attend camp.

This health history is correct, to the best of my knowledge, and the above named minor has permission to engage in all prescribed program activities, except as notated. The undersigned do hereby authorize the directors of Royal Family Kids Camp or such substitute, as they may designate, as agent for the undersigned to consent to an X-Ray examination, anesthetic, medical, dental or surgical diagnosis or treatment and hospital care for the above minor which is deemed advisable by and to be rendered under the general or special supervision of any physician and surgeon, licensed under the provision of the Medicine Practice Act or any dentist licensed under the Dental Practice Act, whether such diagnosis or treatment is rendered at the office of said physician or dentist, at a hospital, camp or elsewhere. This authorization will remain effective while the above minor is enroute to and from or involved or participating in any camp program, unless revoked in writing by the undersigned and delivered to the Director of Royal Family as legal guardian/social worker/other.