Personal & Medical Consent
| Name: | Age: |
| Address: | |
| City: | State: |
| Parent or Guardian Name: | |
| Emergency Telephone Number: | |
| List Allergies: | |
| I understand that it is my responsibility to cooperate with every counselor, and will conduct myself within the limits of Camp Masterson's rules at all times. Failure to do so will result in my being sent home at my parent's or guardian's expense. | |
| Campers Signature: | Date: |
| I herby give permission for the counselors and/or attending medical personnel to administer any emergency care deemed necessary in the event of a accident or illness. Furthermore, I understand that my child will be sent home at my expense in the event of consistent disobedience. | |
| Parent or Guardian's Signature: | Date: |