(영문) 캠프 참가자의 건강 및 허가서(Camper's Health And Permission Form)

campers health and permission form
please note : if your child takes prescription medication (other than bc pills), an additional form must be completed by your phys
ician to allow us to administer prescription medications to your child at camp.this form is available on our website to download and to send to your physician.if you do not have web access call-0 for the form.all medications, including over the counter medications, except for puffers and anaphylaxis kits will be kept in a locked cabinet.
camper name :
health card # :
in case of emergency, if parents cannot be reached, please notify :
name :
phone (home) : (work) :
address :
doctor s name :
phone :
doctor s address :
does your child have a recent history of any of the following?
add/adhd speech impairment hay fever headaches diabetes
bed wetting vision impairment hearing loss epilepsy insomnia
(이하 생략)