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This form must be completed for campers bringing medication to camp. This for is all Camp Potomac Woods Camp Coles Trip and Camp May Flather Camper s Name Sleep Away Camp 2017 Date of Birth // Bringing Medication To Camp Address Name of Camp Program Please copy this page as needed for additional medications. As Needed Other Bedtime Dosage before 9PM Date of dose taken at home for prescriptions Check the appropriate boxes below for each medication. Dinner Please list all medications that your...
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