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Camp Attending

Campers Information

Parent/Guardian Information

Medical Information

****Per Portage County Recreation Education Camp Code 78 - All medications are required to be collected and distributed by our medical professionals. EXCEPTIONS - Insulin, Albuterol (or asthma mediation), and epi pens.*****

Health Insurance Information

Release of Liability

Clear Signature
I HAVE READ THE POLICIES AND FULLY UNDERSTAND MY OBLIGATIONS STATED THEREIN AND ALSO THE RIGHTS OF Ultimate Team Camps, AND HERBY AGREE to hold harmless Ultimate Team Camps and an agent of Ultimate Teams Camps.