Camp Rand Medication Consent

My son ________________________________   is allowed to be given the following medications, including pain relief medication, e.g., Tylenol, ibuprofen, or aspirin, while at camp.  The dosage for each is listed after the name of each medication:

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

The medication is to be packaged in the original manufacturer's container.  Any prescription medication is to be in the container issued by the pharmacy, with the prescribing doctor's phone number included.  All medicine should be put into one Ziploc bag with the scout's name written on the bag.  This does not supersede any prior emergency release outlined in the Troop Activity Informed Consent to Participate form for the campout.

Parent or Guardian _________________________________    Date ________________