Camp Applewood Registration

PHOTO RELEASE FORM

I, parent of {childsName4}, give the Applewood staff my permission to take photographs or videos of my daugher to be used for future Applewood promotions.
Signature:

Medical Authorization

If an emergency arises while my daugher is at Camp Applewood, I direct the Camp Applewood staff to try to contact me or the emergency contact listed above. If neither I nor the emergency contact can be reached, I direct Katie Martinson or her designee to seek emergency care for my daughter at the nearest medical or hospital facility and I give Katie Martinson or her designee health care proxy to make emergency medical decisions.

I also consent to Camp Applewood giving my child
Tylenol/acetaminophenAspirinBenadrylMotrin/Advil
Child's name of consent:*

First NameLast Name
Parent's name:*

First NameLast Name
Date:

MonthDayYearHourMinutesAM/PM Option
By submitting this form, I give consent to Camp Applewood for the child above.
Signature:
This is a fill in the blanks field. Please add appropriate blank fields and text.
Payment

Fee: $225 per camper ($200 before June 1) Family max: $400 ($375 before June 1)
Should be Empty:

Payment