Camp Worker: Minor Waiver Form
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Worker First Name
Worker Last Name
Parent's Name
Relation
Work Phone
Cell Phone
Emergency Contact
Emergency Contact Phone
Emergency Contact Second Phone
I authorize my child to be given the following over-the-counter medications as needed. (Please check medications allowed.) Workers who are sick will be sent home per camp sick rule guidelines.
I approve the application above and hereby certify that my child is of good moral character.  In the event I cannot be reached in an emergency, I hereby give my permission to the physician selected by the Camp Director to hospitalize, secure proper treatment for, and to order injections, anesthesia, or surgery for my child.  I grant my permission for my child to participate in EVERY camp activity and sport.  My child will be required to turn in his/her vehicle keys for the duration of the camp event.
Electronic Signature (type name)
Today's Date
MM
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YYYY
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