In order that your child 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 first aid and 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 or the alternate contact listed on this form, I give my permission for SGC to secure emergency treatment for my child, including emergency medical transport. I agree to be responsible for expenses incurred in the care and treatment of my child.