Emergency Contact Form and Medical Waiver 2015 Summer Camp ... - waynewoodrec-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Member/Approved User Number at the top of the form.
3. Fill in your child(ren)’s information, including their name, age, and any allergies or medical conditions they may have.
4. Provide contact information for both parents. Enter the mother’s and father’s names along with their home and cell phone numbers.
5. Designate an emergency contact by filling in their name and phone numbers.
6. Complete the Pediatrician’s information by providing their name and office details.
7. Read through the waiver statement carefully. As a parent or guardian, sign and print your name, then date the form to confirm your understanding and consent.

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