Date of last tetanus shot: month* /year*
All vitamins and medications brought by the camper (prescription and over-the-counter) must be given to the camp nurse at the time you check in. The nurse stocks most common medications such as Tylenol and cold remedies, so it is not necessary to bring them. All medications must be in the original container and include clear and current directions and camper’s name. Winding Creek Camp provides accident insurance for campers during their time at camp. Winding Creek’s insurance begins where yours leaves off. Illnesses and sicknesses are not covered. Any outside charges incurred related to illness will be billed to parents or guardians. In signing this document, I hereby certify that the above information is correct and give permission to the physician selected by Winding Creek Camp to obtain proper medical diagnosis, hospitalize, secure proper treatment for, and to order injection, anesthesia or surgery for my child as named above. If any injury should occur that Winding Creek Camp is liable for, I understand that the Winding Creek Camp insurance picks up where my insurance leaves off, up to the limits of the Winding Creek policy. I understand it is the policy of Winding Creek Camp not to release a camper to anyone other than the person designated at the beginning of camp.
I also understood that possession and/or use of illegal drugs, alcohol, tobacco, use of profane or abusive language, uncontrollable behavior, fighting, possession of weapons, or vandalism may result in my child/youth being sent home at my expense.
I give permission for my child to be photographed during this camp, for the purpose of promoting camp. Any other use will require my specific permission.
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