Address

Parent/Guardian #1

Parent/Guardian #2

Permission to Give First Aid

Special Health Problems

Daily Medications Administered During Camp Hours

• If your child needs any prescription medication on a daily basis during camp hours, the medication must be in the original box with the prescription. Forms to be filled out by the parent are available in the school office. 

• By law, camp staff is not permitted to administer over the counter medications during the school day without the signed permission from a licensed physician.  Forms are available in the school office.

Others Authorized to take child from facility and/or in case of emergency

We, in the event we cannot be reached, the undersigned parents/guardians of the above minor child do hereby authorize Camp Director, administrators, counselors or other proper agents of Camp Discovery at Ascension to act as agent for the undersigned to consent to any X-ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital care for the above minor child which is deemed advisable and to be rendered under the general or special supervision of any physician or surgeon, licensed under the Provision of Medicine-Practice Act, whether such diagnosis or treatment is rendered at the office of said physician, surgeon, or dentist at a hospital or elsewhere.

In no event will Camp Discovery at Ascension, its officers, counselors, or agents be held liable for any first aid or surgical treatment or procedures performed pursuant to this consent.

This consent is valid unless revoked in writing.

Photo Release

As the parent or legal guardian of the minor camper named above, I give permission to Camp Discovery at Ascension to use my child’s photograph, video image, and/or work for school-related purposes.

I understand that:

• Photos and videos may be taken during camp activities, camp events, or special programs.

• These images or works may be used on Ascension’s social media platforms, website, printed materials, or other school-related publications or advertisements.

• My child’s full name will not be used in any public posting, and no personal information (such as address, phone number, or contact details) will ever be shared.

• Any images, videos, or student work used by Ascension become the property of Ascension and will not be used for profit.

• I understand that general group photos showing camp, classroom or school activities may be used by the school to highlight events or programs. This release does not extend to, or limit, the use of those group images.

This release grants permission for the use of my child’s likeness or work as described above, without additional notice or compensation.

Sunscreen Permission

As the parent or legal guardian of the minor camper named above, I give permission to Camp Discovery at Ascension staff to re-apply sunscreen during camp hours as needed.

Anticipated Camp Attendance Schedule

To help us plan appropriate staffing and provide the best care for all campers, please let us know your child’s expected attendance times.

Standard camp hours are 9:00 AM – 3:30 PM.

Before and after care is available at no additional cost for all families (7:30–9:00 AM and 3:30–5:30 PM). Even if you plan to use these flexible times occasionally, it will still be very helpful for staffing if you can provide what your typical arrival and pickup times will be.