This form is to be completed by the student attending Ram Round-Up. (A parent or legal guardian must complete and certify the form for students under the age of 18.)
All information regarding healthcare providers and medical history will be kept in strict confidence and will only be shared in case of an emergency to provide and/or seek appropriate medical treatment.
I understand that the information requested on this form is intended to help inform camp staff of any pre-existing medical, mental, or physical conditions that I may have and that I am responsible for providing an accurate history.
All fields marked with an asterisk (*) are required.