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Sinjin Smith's Summer 2020 Prep
Sinjin Smith's Summer 2020 Prep
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SUMMER CAMP
Thousand Oaks
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Santa Monica ELITE
Santa Monica
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Hermosa Beach
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Register Summer Camp
SPRING BREAK
AFTERSCHOOL
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ABOUT BVC
Sinjin Beach Club Team
Collegiate Tournaments
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MY ACCOUNT
Medical Release Form
First Name
Last Name
Child First Name
Child Last Name
Emergency Contact Name
Emergency Contact Phone
Family Doctor
Health Insurance Company & Plan Name
Insurance Company Phone
Health Insurance Policy Number
Insurance Group Name or Number
Does your child have any allergies?
Does your child require an Epipen?
Does your child have any dietary restrictions?
Will your child be taking any medications while at camp?
May the following over-the-counter medications be given to your child at camp?
Acetaminophen (Tylenol)lenol
Antacids
Antibiotic Cream
Antihistamines (Benadryl, Diphenhydramine)
Cortaid
Ibuprofen (Advil)
Sting Swabs
Sunscreen
Is there anything the camp needs to be aware of when giving any of the approved over-the-counter medications to your child?
Has your child been exposed to any communicable diseases within the last 3 months?
Does your child have any restrictions on activity?
Will your child require any special assistance while at camp?
Please list any other medical information the camp should have about your child.
Submit Form
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