Medical Information Release

Camper's name:_____________________________________

I give the First Aid Supervisor permission to share medical information concerning my child with those she believes should know for the best care of the camper.

Example:  Camper has a bee sting allergy.  The recreation personnel, cabin parents, etc. should know this in case the camper gets stung.  They will know this is an emergency and take appropriate action.

I also give the First Aid Supervisor permission to give my child the prescription medications I brought as well as over the counter medicine.  (Tylenol, Ibuprofen, Tums, etc.)  If my child is allergic to any over the counter medications I am responsible to give the First Aid Supervisor this information.

Signed:_________________________________  Relationship:______________________________