Camper Name *

First Name

Last Name

I authorize Ohana Sports to administer the following medications to my minor child as described below and provided by me. This form will be printed and placed in a ziplock back in the first aid kit and the medication provided will be placed in this bag as well during the camp day. EpiPens can be left in the child's backpack and will have these directions attached to it. *

Antihistamines

Epi Pen

Other - please let us know exact medication below

Start Date *

MM

DD

YYYY

I will update instructions when needed and let the staff know by submitting another form here. *

Yes