Summer Camp Activity Permission
Please review each activity below and mark whether you agree or do not agree for the student to participate. If you do not agree, the student will observe.
Activity 1
Ambulance / Backboard / Stretcher Training
I agree
I don’t agree
Activity 2
Birthing Simulation
I agree
I don’t agree
Parent / Guardian Acknowledgment
By signing below, I acknowledge I have read the above and I authorize the selections indicated.
Name
Signature
Date
Return instructions: Print this page and return the signed form to camp staff.