To the best of my knowledge this Health History is correct and complete. The camper has permission to participate in all camp activities unless otherwise noted on this form.
I hereby give permission to GSB Camps to provide, seek, and consent to routine medical health care, administration of prescribed medications, and emergency treatment for my child as may be necessary. This includes, but is not limited to: x-rays, routine tests and treatment, and/or hospitalization. I give permission to GSB Camps to provide transportation required for treatment. I understand that all medical bills for services to my child rendered by anyone other than the GSB Camps staff are my responsibility. I agree to release any records necessary for treatment, billing, or insurance purposes.
It is my intention that the camp be treated as acting in loco parentis for my child. If I cannot be reached in the event of an emergency, I grant permission to GSB Camps to use the physician they have selected to secure treatment, including hospitalization.