Emergency Contact 1 (Name, phone number and relationship)
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Emergency Contact 2 (name, phone number and relationship)
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Authorized pickup (name and relationship)
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Does the child take any medication regularly?
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If yes, name medication
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Does the child have any allergies?
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If yes, please explain and specify the allergy
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In the event of an emergency affecting my child while participating in the Summer Falcon's Adventure Camp, a designated staff will attempt to contact me and inform me as soon as possible. If I cannot be reached, I hereby give permission for my child to be treated or hospitalized by a licensed physician or hospital selected by the Summer Falcon's Adventure Camp
I hereby grant permission for my child to use equipment and to participate in activities of the Summer Falcon's Adventure Camp
Clicking "Agree" constitutes your official consent and signature for your child Summer Falcon's Adventure Camp
If you selected 1,2 or 3 weeks, please write the dates of the weeks your child will attend the camp