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  • Haw River United Methodist Church Camp Medical Consent Form

    • Camper Information: 
    • Medical Provider Information: 
    • Emergency Contact Information 
    • Known Medical Problems and Medications 
    • This information is included to provide information to emergency personnel of medical problems and medications in an emergency situation.  In order to keep this person in optimum health it is necessary that medication be given during camp and/or while in transit to or from camp.

    • Medical Consent Authorization: 
    •  - -
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    • Should be Empty: