2025 G1 Teen Camp Registration and Consent

Your name (First and Last)

Your Phone Number

Emergency Contact Back Up Number:

Address

Name(s) of Child/Children (First and Last)

Phone Number for Child/ Children (If Applicable):

Please list any allergies your child/children have:

Please list any medications your child takes with dosage & instructions:

I hereby agree to release all medications (prescribed or not) to the leaders of Teen Camp to administer. In addition, I authorize the leaders of Teen Camp to administer the medications listed above.

I confirm that any prescription medication listed above has been prescribed by a licensed healthcare provider, and I have provided the medication in its original container with appropriate labeling.

I understand and agree that the camp staff are not licensed medical professionals and will administer the medication according to my written instructions. I release and hold harmless the leaders of Teen Camp from any liability related to the administration of the medication.

I confirm that my child/ children are able to swim well.

I hereby give my child/children permission to attend 2025 Teen Camp according to the CONSENT TERMS AND CONDITIONS linked below.

Signature

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CONSENT TERMS & CONDITIONS

2025 G1 Teen Camp Registration and Consent

Click Here for CONSENT TERMS & CONDITIONS

Teen Camp Registration

Click Here for
CONSENT TERMS & CONDITIONS