Complete a form for EACH camper and teen counselor
This section must be completed for each camper and teen counselor.
The undersigned does hereby give permission for my child (listed above) to:
Participate in the activities sponsored by the WV Ministries of the Church of God. We authorize any adult(s) in whose care the minor has been entrusted to consent to any X-ray, examination, anesthetic, medical, surgical, or dental diagnosis or treatment, and hospital care to be rendered to the minor under the general or special supervision and on the advice of any physician or dentist licensed under the provision of the Medical Practice Act on the medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital.
The undersigned shall be liable and agree(s) to pay all costs and expenses for mentioned child pursuant to this authorization. Should it be necessary to for our(my) child to return home due to medical reason or otherwise, the undersigned shall assume all transportation costs.
The undersigned does also hereby give permission for my (our) child to ride in vehicles designated by the adult(s) in whose care this minor has been entrusted while attending and participating in activities sponsored by the WV Ministries of the Church of God.
I have read and reviewed the rules with my child and understand what is expected of my child and my child agrees to behave in the standard of conduct and actions.
Typing your name below shall serve as a valid signature for this form.
Please list two emergency contact below (one parent/guardian and one other)
Camp Sonshine Health Statement
This health statement must be completed for each camper and teen counselor participating in Camp Sonshine.
Please list below any physical conditions the counselor, camp nurse, or a doctor needs to know.
Reporting such conditions will be kept confidential by staff.
All medications need to be brought in a Ziplock bag marked with the child's name and church name on the bag. Inside the bag please include any instructions that may be needed for the child. This includes over the counter medications as well (Melatonin, Ibuprofin, Etc.).