In order that your daughter may receive prompt and appropriate medical treatment when you cannot be reached, please fill out this form and the medical statement.

I attest that my child is in good health and able to actively participate in day camp activities except as noted in this form. I take full responsibility to see that my child is properly prepared for camp including having proper clothes and equipment and being in good health. I authorize SGC to provide routine health care, administer prescribed and over-the-counter medications that I will be sending to camp. I authorize SGC to share information in this Health History document with selected camp staff on a need-to-know basis. In case of medical emergency or need for medical treatment, after every reasonable effort has been made to contact me, the family physician or one of the alternates listed on this form or my child’s Camp Registration Form, I hereby give my permission to the physician secured by the camp to secure treatment for my child named on this form. I authorize the camp to arrange and/or provide necessary related transportation for my child. I agree to be responsible for expenses incurred in the care and treatment of my child.

Thank you for your patience.

This form is for wait listed registrations when space has come available for Day Camp.

If you have any questions please let us know by emailing the office.