MEDICAL RELEASE: This health history is correct so far as I know, and the above named minor has permission to engage in all prescribed program activities. The undersigned does hereby authorize the directors of Camp L.I.T. 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/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, at camp or elsewhere. This authorization will remain effective while the above minor is en route to and from or involved in or participating in any camp program, unless revoked in writing by a medical professional(s) and delivered to the Camp Director. During camp, prescription medication will be administered to teen as directed by a physician. Camp L.I.T. will do everything in its power to prevent incorrect medicine from being given. However, Camp L.I.T. is not liable for incorrect medicine provided to us by the legal guardian, incorrect dosages given, nor is it liable for wrong labeling on medicine bottles. Legal guardians are responsible for checking in the correct medication, bottles and dosages at the time of registration. This is not the time to give medication vacations to your teen.
LIABILITY RELEASE: Every precaution will be taken to protect campers and volunteers from harm, but Camp L.I.T. is not liable for injuries/death that teen or volunteer staff may incur while camping or participating in Camp L.I.T. activities. All extension activities are included.