Consent For Emergency Medical Treatment
I confirm this health history is complete and accurate. I know of no reason(s), other than the information noted on this form, why my child/I should not participate in camp activities. I confirm I am the legal guardian of the minor listed above or I am the adult listed above. Entering my name into the space below authorizes the officers, group leaders, or agents of Camp Celiac/Camp Arroyo to obtain and administer first aid and/or to consent to medical, surgical, dental and related treatment as might be required for the immediate care of the camper/adult listed above in the event of an emergency and for ongoing care of chronic health conditions. I provide additional permission for the administration of non-prescription medications (such as antihistamines, acetaminophen, ibuprofen, etc.) or prescription medications, if needed, unless otherwise noted on the form under “health conditions”.