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Camp Medication Dispensing Permission Waiver

If you are unable to fill out the electronic form below, please fill out this PDF form and mail it to:

Camp Forms, Lake County Forest Preserves
Ryerson Conservation Area
21950 N. Riverwoods Rd., Riverwoods, IL 60015

* Field is Required
Medication Dispensing Information, Permission, and Waiver
Only fill out this form if you expect camp staff to dispense medication to your child, when medication changes, or if your child will carry an asthma inhaler and/or EpiPen.

The Lake County Forest Preserves will not dispense medication to a minor child or other participant until the Medication Dispensing Information, Permission, and Waiver form has been fully completed by a parent/guardian. To review our agency's internal procedures on dispensing medication, contact 847-367-6640.
Participant Information
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