I give permission for my child to take part in Summer Middle School Camp July 12-14, 2024
STUDENT INFORMATION (please print)
MEDICAL HISTORY: please list any other medical conditions your child may have. Also list below any prescription medication he/she may be taking at this time.
I give permission for a leader to give my student the following medications if necessary. Tylenol Aspirin Ibuprofen Benadryl None
PRIMARY EMERGENCY CONTACT PERSON
ALTERNATE EMERGENCY CONTACT PERSON