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March Break & Summer Camps - Medical Form

March Break & Summer Camps - Medical Form
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Child's Information

Parent/Guardian Contact Information

#1

#2

Pick-Up List/Alternative Emergency Contact

#1

#2

For your child’s safety, campers are not permitted to be sent home with a guardian who is not included on their approved pick-up list, including family/guardians of other campers. any additional pickup names must be sent in advance in writing to [email protected] and confirmed by programs coordinator for approval.

Medical Information

Does your child require an EpiPen?

Has your child recently had a cold/flu/infection?

Does your child have any behavioural/social/emotional needs?

Medical Restriction(s) Acknowledgement

I hereby certify that my child has no medical restrictions or concerns prohibiting him/her from participating in any day camp activities. Should the need arise, permission is granted to The Royal Conservatory and/or its representative to transport my child to a local hospital for medical treatment if necessary.