Camper Registration Form - Lake Brownwood Christian Retreat

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Please complete form in its entirety.

The completed medical/guidelines/liability release form is a required document authorizing camper participation in all camp activities. Upon arrival, the completed form must be turned over to LBCR administrators. Camp activities cannot commence until all camper registration forms are received. Texas Law requires that the complete original medical form be kept in the nurse's station and become permanent documentation of LBCR. If the group director desires to maintain the forms, copies should be made prior to arrival.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
STUDENT MEDICAL HISTORY AND AUTHORIZATION FOR TREATMENT

 
 
 
 
 
 
 
 
 
 
 
 
 
Please complete the following and give additional information as applicable:
Please put N/A on all that do NOT apply.
ALLERGIES:
 
 
 
 
 
 
 
 
 
 
 
 
Every effort will be made to accommodate special dietary needs, but LBCR cannot guarantee availability of all specialty foods.
DISEASES, CHRONIC OR RECURRING ILLNESSES:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The Medical/Guidelines/Liability release forms will be emailed to you once this form is submitted.

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