Parental Consent Form for Overnight Camps
Camper Information
Full Name
Date of Birth
Gender
Address
Parent/Guardian Information
Full Name
Relationship to Camper
Phone Number
Email
Emergency Contact
Full Name
Relationship
Phone Number
Email
Medical Information
Allergies
Medications
Other Medical Conditions
Physician Name & Phone
Consent
I, the parent or legal guardian of the camper named above, give consent for my child to participate in all camp activities and authorize emergency medical treatment if necessary.
Parent/Guardian Signature
Date