If yes, please list the allergies and describe the severity of the reaction (medication, seasonal, food, etc.)
If your child has any special need that requires specific accommodations so your child can fully enjoy camp, please contact Inclusion Services
at (661) 250-3722, or
inclusionservices@santa-clarita.com. To ensure appropriate accommodations, please request inclusion services a
minimum of two weeks in advance.
Will your child need to take medication while at camp? YesNo
Any medication dispensed to your child must be brought to camp in its original prescription container and a
separate form must be completed.
*We reserve the right to request proof of age at any time.
PERMISSION TO PARTICIPATE/CAMP POLICIES AND PROCEDURES
I have the authority and voluntarily agree for my child to participate in City operated activities or programs, or any extension thereof.
I hereby waive, release, and hold harmless from any liability or claims for damages for personal injury, including death, as well as from claims or property damage which may arise in connection with such activities or programs, against the Supervisors, City of Santa Clarita, and its elected and appointed officials, agents, and employees. As a parent/guardian, I hereby consent to treatment of my minor child for any and all medical procedures deemed necessary as a result of accident or injury. I further agree to pay any and all costs incurred as a result of said treatment. I hereby give permission to the City of Santa Clarita to use my child(ren)’s photographs as they see fit for promotional purposes. I understand the photographs belong to the City and I will not receive payment of any kind.
An original signature is also required, therefore, you will be asked to sign this form on your child's first day of camp.