Feel free to email the secretary to discuss lengthy medication regimens or conditions that take more explanantion at email@example.com .
In the event of an emergency or non-emergency situation
requiring medical treatment, I, the above listed parent /
guardian, hereby grant permission for any and all medical and /
or dental attention to be administered to my child in the event of
any injury or illness, until such time as I can be contacted. This
permission includes, but is not limited to, the administration of
first aid, the use of an ambulance, and the administration of
anesthesia and / or surgery, under the recommendation of
qualified medical personnel.
I acknowledge that the use of over-the-counter medications will
only be dispensed under the supervision of a Registered Nurse
(RN) or Licensed Practical Nurse (LPN) and will only be used
for the intended purpose of avoiding emergency room expenses
to the parent or legal guardian.
I release and waive any claim I may have against the NC
District UPCI, the Sunday School Department, or the individual
members, agents, employees and representatives of either
entity, as well as trip supervisors and drivers for any losses,
damages, or injuries arising out of, during, or in connection with
the participation of the camper named herein in the 2017 NC
District Jr. Camp or the rendering of any emergency medical
procedures or treatment.