Swim Camp Permission & Registration Form
Camper Information
Full Name
Date of Birth
Age
Gender
Address
Parent/Guardian Information
Name
Relationship
Phone Number
Email
Emergency Contact (Other than above)
Name
Phone
Medical Information
Allergies / Medical Conditions
Current Medications
Doctor’s Name & Contact
Medical Insurance Information
Permissions
I give permission for my child to participate in Swim Camp activities.
In case of emergency, I authorize necessary medical treatment for my child.
I give permission for photos of my child during the camp to be used for program purposes.
Parent/Guardian Signature
Date