Choose up to 3 for consideration
FOR CADET STAFF APPLICANTS ONLY
Choose up to 3 different positions for consideration.
List Names of Medication or Other Allergies (i.e., bee sting, food, plants) and types of reactions; please note food allergy details with dietary restrictions below.
Do You Now Have Or Have You Ever Had Any Of The Following?
(List any dietary restrictions like food allergies, diabetes, gluten-free, vegetarian diets, etc.)
(List all surgeries including tonsils, ear tubes, appendix, gall bladder, hernia, hysterectomy, heart, heart catheterization, bone and joint and all other surgeries.)
Include supplements, over-the-counter medicines, herbals, creams, etc., or write “None”.
CONSENT FOR MINOR CADET PARTICIPATION, MEDICATIONS, TREATMENT
I give permission for full participation in CAP programs, subject to any limitations noted herein.
My signature below evidences my consent for my child/ward to possess and self-administer the prescription medications listed above I understand that there are legal limitations imposed on CAP senior members with regard to the involuntary administration of medications to my child/ward. (Cross out if permission is denied).
In case of emergency, I understand every effort will be made to contact me. In the event I cannot be reached, I hereby give my permission to the licensed health-care practitioner selected by the adult leader in charge to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for my child. Medical providers are authorized to disclose to the adult in charge exam/test results and treatment provided.
Over-The Counter/Non-Prescription Medications
My child/ward has the following allergies or reactions to over-the-counter medications (list type of reaction):
My signature below evidences my consent for CAP senior members to provide over-the-counter non-prescription medications (such as those listed above) to my child/ward if indicated in the reasonable judgment of such senior members. I understand that I will be informed if any such medications are administered.
If you are a first time encampment participant, be sure to apply for CEAP funds. YOU MUST ALSO CLICK ON THE ONLINE PAYMENT AREA TO FINISH YOUR APPLICATION.
You MUST go here to finalize your application for encampment.
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