Camper Medical Information Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Camper Name: *Parent/Guardian name: *Daytime Phone: *Alternate Phone: Camper Medications To Be Dispensed MedicationDosageTime given Please list any known possible side effect of medication on the child and to which medication it may apply:Please list special dispensing or storage instructions that may apply to the medication(s) and to which medications they apply:In addition to listed medications, I authrorize the administration of over-the-counter medications on an as-needed basis: *Not AuthorizedAuthorizedDoes camper have any allergies *Camper has no known allergiesCamper is allergic to: the known side Allergies: List allergies: Submit
