ERC Youth Emergency/Health Form

2024 - ERC Youth Emergency/Health Form

  • Camper Information

  • Contact Information

  • Health Insurance Information

  • All health information must be filled out if guardian is not staying on the grounds
  • Health Information

  • I give consent for routine, non-surgical, emergency medical treatment of my child. I am aware that it will be notified immediately in the event that my child needs to be seen by a doctor.
  • I understand by typing my full name above that it constitutes a legal signature confirming that I acknowledge and agree to the terms above.
  • Date Format: MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.

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Eaton Rapids Campmeeting