• Please list ALL medication (both prescription and over-the-counter drugs) your child will need to take during camp.
  • Prescription medication must be in its original container with child’s name, prescribing physician, name of medication, dosage and frequency of administration clearly visible on the packaging.
  • Please ensure that medications have not expired.
  • Medication that is not labeled, is out of date or not in its original container will NOT be administered.

"*" indicates required fields

Child's Name*
Parent's/Guardian's Name*