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Medical providers are authorized to disclose protected health information to the adult in charge, camp medical staff, camp management, and/or any physician or health-care provider involved in providing medical care to the participant. In the event that this person cannot be reached, permission is hereby given to the medical provider selected by the adult leader in charge to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for me or my child. In case of an emergency involving me or my child, I understand that efforts will be made to contact the individual listed as the emergency contact person by the medical provider and/or adult leader. I also understand that participation in these activities is entirely voluntary and requires participants to follow instructions and abide by all applicable rules and the standards of conduct. Information about those activities may be obtained from the venue, activity coordinators, or your local council. I understand that participation in Orange County Council, Boy Scouts of America (OCBSA) activities involves the risk of personal injury, including death, due to the physical, mental, and emotional challenges in the activities offered. The participant has permission to engage in adventure activities described, except as specifically noted by me or the health-care provider.
I understand that, if any information I/we have provided is found to be inaccurate, it may limit and/or eliminate the opportunity for participation in any event or activity. You Have Been Successfully Unsubscribed From The Newsletter.Informed Consent, Release Agreement, and Authorization
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