Or any other comments regarding camper’s physical or mental health that would be helpful for camp staff to know
Please let us know if you are up to date and current or not.
Please list Medication Name, Purpose, Method of Administration, Frequency, Times of Administration, and Dosage. * Please note that the medication must be in current, original container with the label still intact. Every effort will be made to give medication at approximate designated times.
Parent / Guardian Authorization for Healthcare
The health history is correct, and the person described has permission to participate in all camp activities except as noted by me and/or the examining physician.
In case of a medical need or emergency, I understand that camp staff will make every effort to contact me at the phone numbers provided. If I cannot be reached, I hereby give permission to a camp representative and/or the physician selected to secure proper treatment. This treatment may include the following, and other care, as deemed necessary for prudent medical care:
Sonlight has permission to obtain a copy of my child’s health record from the providers they access to treat my child.
I understand that information about me/my child’s health will be shared on a “need to know” basis with other Sonlight Camp staff, to include food service staff, and/or counseling staff. I acknowledge and agree that, pursuant to applicable Colorado law, medical disclosures of a sensitive nature, including those related to the child’s sexual activity, might, under certain circumstances, be withheld from me unless the child consents to notification.
I understand that Sonlight is in a rural environment. Treatment for my child by a physician may be hours from Sonlight resident camp.
Assessment by camp staff as to care needs and where to be treated, e.g. camp, urgent care or emergency department. Over the counter common medications such as, but not limited to, ibuprofen or ant-itch cream, and first aid care such as ice packs and bandages. Transport of child to urgent or emergency care by camp staff or emergency transport as appropriate. Treatment, x-rays, routine test, appropriate procedures and medications, and urgent surgical care under physicians’s orders. Other treatment as determined as necessary to treat condition. I give permission to release reports necessary for insurance purposes for designated camper, and further understand that I will be responsible for medical care costs associated with the treatment of the condition.
I hereby agree to be responsible for the conduct and actions of my child/children and to release the camp from any claims and demands that may occur during participation at camp as well as any incidents or accidents occurring on camp property.
Additionally, I grant permission to the camp, its agents, and its employees the irrevocable and unrestricted right to produce photographs and video taken of my child, myself, and members of my family while at camp for any lawful purpose including publication, promotion, illustration, advertising, trade, or historical archive in any manner or in any medium by the camp. I hereby release the camp and its legal representatives from liability for any violation or claims relating to said images or video.
I understand that camp may have inherent risks, that the mountain environment is different than the city, that situations may rise which will be dealt with differently than in an urban area. I understand that cell phones and other electronic devices may not be used by campers at Sonlight Camp.
