Please, accept the parent questionnaire & release at the bottom of the page.
I, as parent or guardian, give my consent to give the prescribed and/or over the counter medication(s) listed above to my child during the summer program, in the dosage and schedule given above.
The parent or guardian should give the medication(s) to authorized program personnel in a sealed plastic bag with sufficient instructions in regards to dosage, schedule of administration, and any other pertinent information. Camp staff will not be responsible for administering any medication requiring special training or nursing skills, such as injections for diabetes or allergies. Admissions staff should be notified of any special medical needs to determine if the prospective camper can be accepted into the program. Children with contagious medical conditions will not be permitted to attend camp.