• SUMMA Theological Debate Camp 2025

    July 15-23 | The University of the South, 735 University Ave., Sewanee, TN 37383

  • A parent or guardian must complete and sign this form in order to allow your camper's participation in SUMMA camp activities. Please complete this form by July 1, 2025. Thank you!

    A doctor's physical exam is not necessary. Only general medical information is required.

  • Camper Information

  • Parent/Guardian/Other Information

  • Emergency Contact

  • Medical Questionnaire & Authorization

  • HEALTH INFORMATION STATEMENT

    Check below any information you feel the staff may need to maximize the safety and the well being of the camper. To the right of the condition statement is space for more information relating to the condition checked. Please be specific and comprehensive. In case of an emergency, this health information may be the only immediately available source of accurate important information. This information is kept confidential and secure.

  • Required to Self-Administer Medications

    If medications are required during the program, please send enough medication to last the entire session. Keep it in the original packaging that identifies the prescribing physician (if a prescription drug), the name of the medication, the dosage, and the frequency of administration. Over-the-counter medications, including vitamins, should also be provided in original packaging that states recommended dosages. University staff will not be able to administer medicines or diabetic or allergy shots. We encourage you to have a discussion with your child about the responsible and timely administration of prescriptions and other medications. They will be required to self-administer.

  • Over-the-Counter Medication Authorization

    It is highly recommended that each participant brings their own over-the-counter medications, bug spray, and sunscreen for outdoor activities. Please do not bring over-the-counter medications for conditions that you child does not regularly experience or for which you child has no known history. For example, if your child experiences environmental allergies for the first time during the program, we can provide Benadryl (provided you check "yes" below). However, if your child is known to experience seasonal allergies, please bring the medication that works best for them. The University Bookstore has available a limited supply of some common over-the-counter medications for purchase, and there is a CVS near campus if needed.

  • INSURANCE INFORMATION

    Out-of-TN campers, please check with your insurance provider to ensure your child will be covered while at camp in TN.
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  • Signatures

    • As a parent or guardian, I understand that if a serious illness/injury develops, medical or hospital care will be sought. I further understand that in case of serious illness/injury, I will be notified. However, if it is impossible to contact me, I give my permission for medical treatment, as recommended by an attending physician.
    • I approve the release of medical information to the University of the South staff and any treating physician.
    • I approve the release of insurance information to the health care provider (doctor, medical staff, and hospital of my child).
    • I approve the health care provider to release information to the insurance company.
    • I approve benefits from my insurance that are payable to the health care provider.
    • If the benefits are paid directly to me, I will pay the health care provider.
    • My signature verifies the above information to be correct to the best of my knowledge.
    • I understand that the University of the South has the right to refuse my participation based on information collected on this form and or through other sources.
  • Clear
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    • As a camper, I understand that this Medical Form reflects all diagnosed conditions for which I am being treated.
    • I understand that I am responsible to self-administer any medications listed on this form, and that this self-administration will follow correct timing and doses.
    • I understand that I will not share any prescriebd medications with other program participants.
    • I understand that the program may administer any over-the-counter medication listed on this form.
    • I understand that I will responsibly keep program staff informed if I am feeling unwell at any time.
  • Clear
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