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N a m e o f M e d ic a tio n / D o s a g e / W h e n to G iv e D ay 1 A M / N oon / PM D ay 2 Staff Only Please initial after dosage has been administered. Name of person dispensing medication Name of Camp Director James Gordon Jessie Lenford D ay 3 D ay 4 D ay 5. Wilderness Trails Child Medication Log Dates of Camp Child s Name Parent/ Guardian Name DOB Signature Please read and initial Instructions to show you have followed and completed this form 1. Write the name of the medication s...

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