PERMISSION TO PARTICIPATE, AUTHORIZATION FOR TREATMENT, PHOTO/VIDEO:
This health history is complete so far as I know, and the person herein described has permission to engage in all prescribed camp activities except as noted, including hiking the trails. AUTHORIZATION FOR TREATMENT: I hereby give permission to the medical personnel selected by HRC (HOLLIS RENEWAL CENTER) & CTS (CAMP TOMAH SHINGA) to order X-rays, routine tests, treatment and necessary transportation for me/my child. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by HRC & CTS to secure an administer treatment, including hospitalization, for the person as named above. PHOTO/VIDEO RELEASE: I also give HRC & CTS permission to use any photograph/video of my child taken at Day Camp in the future promotions of HRC & CTS.