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Pre-Register by June 17 to receive $10 off!

Registration at the door is $85

YOUTH CAMP PRE-REGISTRATION

I, the undersigned parent/guardian of __________________________________, do hereby consent to any medical treatment necessary as a result of injury or illness. I understand that this consent is given to the ICHA Youth Camp Staff in advance in the case of an emergency and allows the hospital physician to exercise their best judgement.

Parent Signature

________________________________________

Date

________________________________________

Permission for camp nurse to give Tylenol to camper, if requested.

Yes_____  No_____

*You may print this page and bring completed form with parent's signature to registration or sign the release we will have available there.

Thanks for Registering!

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