Camp Medical Release / Authorization Form

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Gymnast / Camper Information

MM slash DD slash YYYY

Contact Information


Primary Emergency Contact Information

In Case of Emergency, Please Contact:

Secondary Emergency Contact Information


Doctor Information

Doctor's Name

Medical Information

If it is necessary for your child to receive medication during the camp day, please do the following: 1. Send the medication to camp with a responsible individual (if you are unable to bring it) and give it to the camp coordinator. 2. Send the medication in the original container, properly labeled with the original pharmacy dosage information.

Release & Policies