Medical Authorization/Release Form
Email address *
Student's Name *
Your answer
Camp(s) Attending *
Your answer
Parent/Guardian #1 *
Your answer
Parent/Guardian #1 Email *
Your answer
Parent/Guardian #1 Cell phone number *
Your answer
Parent/Guardian #2
Your answer
Parent/Guardian # 2 email address
Your answer
Parent/Guardian #2 Cell Phone number
Your answer
Names & Phone numbers of additional people authorized to pick up camper: *
Your answer
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