CPR * First Aid * Meds Form




I, ___________________________________________________, GIVE PERMISSION TO QUALIFIED

CAMP COUNSELORS TO ADMINISTER FIRST AID AND/ OR C.P.R. TO,

___________________________________________________, IF AND WHEN REQUIRED.


SIGNATURE: _________________________________________________


DATE: _______________


ANY MEDICATIONS THAT MY CHILD REQUIRE IS GIVEN IN TRUST TO THE CAMP NURSE TO BE KEPT IN A SAFE SECURE PLACE AWAY FROM ALL OTHER CAMP CHILDREN.


SIGNATURE: _________________________________________________


DATE: __________________________