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  • Camp Red Oak Springs

    Where life long friends and Memories are made.
  • Camper Information

    Please complete ALL questions.
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  • Camper Health Information

    To help us better care for your camper, please be specific and accurate as possible.
  • Prescription Medication

    All medicines must be in the original container with original pharmacy label with camper's name. All over the counter medicines must be in store packaging. We cannot accept any medication in plastic bags or pouches.
  • Parent/Guardian Information

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  • Emergency/Alternate Contact Information

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  • Swimming Policy

    If your camper is unable to swim or has difficulty swimming, a life jacket is required. The life jacket MUST be provided by the parent/guardian. If not, the camper may not be eligible to swim. Swim time is schedule daily during each session. (weather permitting)
  • Medical Release and Authorization

  • As Parent and/or Guardian of the named camper, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

    Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

    Permission is also granted to Camp Red Oak Springs and its affiliates including Directors, Counselors, and Staff to provide the needed emergency treatment prior to the child’s admission to the medical facility.

    Release authorized on the dates and/or duration of the registered camp session.

    This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of the life and limb of the named minor child, in my absence.

  • Photo/Video Release

    If given permission, camp may use your camper's image for publicity purposes.
  • PAYMENT

    Please select the appropriate form of payment.
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