Please enter the information below with proper capitalization and accurate spelling as the information you enter becomes your profile in our database.
Camp & Payment information
In case of a medical emergency, I understand that every effort will be made to contact me,
the parent or guardian of the camper. If I cannot be reached, I hereby give permission to the physician selected by the camp director or nurse to hospitalize and secure proper treatment for an injection, anesthesia, surgery, or whatever is needed for the child named above. I agree to the release of any records necessary for treatment referral, billing, or insurance purposes. In addition to the medical release, I also grant SHC permission to take photographs and/or videos of the above-named camper. I authorize SHC to use or publish the same in print or electronically. I also give permission to be added to an electronic mailing list but realize that I may unsubscribe at any time.
Note: All claims must be submitted to your personal insurance company.
