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Parks & Recreation

Healthy Parks, Healthy Portland

Phone: 503-823-PLAY (7529)

Fax: 503-823-6007

1120 SW Fifth Ave., Suite 1302, Portland, OR 97204

My child needs to take medication during camp.

If ANY medication (prescription or over-the-counter) will be taken by a participant while at camp a "Medication Administering Information" form must be completed and brought to the first day of programming. All medications must be in their original packaging.

If camp staff will be administering the medication, please also fill out the "Authorization for Medication Administration Wavier".

If camper is 13 or older and will be self-administering medication OR the camper is under 13 and needs immediate access to their medication please also complete "Self Medication Agreement".


Self Medication Agreement

Completed for participants 13 years of age or older who will be self-administering OR campers under the age of 13 who require immediate access to their medication (i.e. an inhaler).

Medication Administering Information

This form gives us information about the medications and the participant. REQUIRED if medications will be taken during camp.

Authorization for Medication Administration

This waiver is required if camp staff will be administering medication to campers.