I certify that all the responses on this Health Information form are true and accurate, and I will notify the camp director hereafter of any relevant changes in my health that occur during my time at Camp Daniel, Inc.
I verify that:
- I have provided Camp Daniel, Inc. with all medical data and my other personal information necessary for a safe and healthy experience. There are no physical or mental health-related reasons or restrictions which preclude or effect my participation in the program, and
- If I become injured in the course of my participation, and am unable to seek treatment for myself, I hereby give permission for emergency medical treatment to be sought for me by representatives or agents on behalf of Camp Daniel, Inc.
Furthermore, I authorize the release of information contained within any health/emergency forms submitted in preparation for this program to my physician, program leaders, or third party provider (if applicable), to inform and discuss reasonable accommodations and/or to deal with any health-related emergency that directly concerns me or involves me in any way, shape, or form while participating in this program.