The Lakes Summer Camps

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Camper Information

 
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Emergency Contact Info

 
 
 
 
 
 
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Insurance Information

 
 
 
 
 
Medical History

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Medication Administration

Medications accompanying youth to camp must be presented to camp officials upon arrival. All medications must be in the original container. A written request from parent/legal guardian must accompany all medications stating dosage and time to be administered. Medication WILL NOT be given without this permission. Over the counter treatments may be implemented by the staff for minor illnesses, if needed. No aspirin or products containing aspirin will be administered. Medications that are not picked up at the end of camp will be properly disposed of if not collected in a reasonable time frame.
Release/Authorization

I, the parent/legal guardian, hereby grant permission for my child to participate in the pre-arranged activities relating to the camp, including the travel to and from such pre-arranged games and events.

I hereby, for an in consideration of the activities with The Lakes Summer Camps, do hereby authorize any adult staff member to secure, obtain, or otherwise see to all medical care/treatment, including any emergency operation requiring anesthesia which, in the opinion of said adult and in consultation with competent medical personnel, may be necessary as a result of injuries or illness sustained by said child while engaged in camp-related activities.

I do here further release The Lakes Summer Camps from any and all claims, demands, actions, or causes of actions made by me or any other person under my direction of control by virtue or as a result of any injury or illness sustained by aforementioned child while engaged in any camp-related activity. I accept responsibility for payment of expenses incurred as a result of medical treatment.

I do here further authorize The Lakes Summer Camps to publish or present any recorded media of said child in the advertisement or promotion of The Lakes Summer Camps and its activities. I also recognize and understand that my aforementioned child MUST obey the rules and regulations of the camp or he/she will not be allowed to participate and, if deemed necessary, will be sent home.
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Description

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