Camp Caleb Medical Release Form
In case of emergency, I hereby give permission to the
physician selected by the Camp Caleb
supervising staff member to hospitalize, secure
proper treatment for, order injection or anesthetic for, or approve surgery for
my camper as named on their registration form. I also certify that my camper is
in good physical condition and is fit to participate in any activity other than
those listed in "restricted" on the registration form. I also certify
that my child has no communicable diseases.
Name of Camper: __________________________________
Name of Parent or Legal Guardian: __________________________________
Signature of Parent or Legal Guardian: __________________________________