This health history is correct and complete as far as I know. The person described has permission to engage in all activities except as noted. I give permission to the VBS leaders to provide routine health care, administer prescribed medications, and seek emergency medical treatment. I agree to the release of any records necessary for insurance purposes. I give permission to the VBS leader to arrange necessary related transportation for my child I hereby give permission for the VBS leader to administer over the counter medications as deemed necessary except as noted in the allergy box above.
I understand and agree to abide by any restriction placed on my child's participation in camp activities.