Poway, CA · San Diego County
Emergency Treatment for Children With Asthma
Lake Poway Day Camp families use these forms to provide asthma care instructions, authorize emergency treatment, and release the City from specified liability.
What this form is
These Lake Poway Day Camp forms provide staff with a child’s asthma symptoms, treatment instructions, activity restrictions, and emergency contacts. The city requires them when a parent or guardian indicates during camp registration that a child has severe asthma. A physician and parent or guardian complete the authorization, and a parent or guardian completes the liability waiver and policy acknowledgment.
Who needs it
Parents or guardians registering a child with severe asthma for Lake Poway Day Camp must complete the forms with the child’s physician where indicated.
How to submit it
Bring all completed forms to camp staff during check-in on the child’s first day of camp. Provide the prescribed medications needed to follow the authorization instructions at that time.
About notarization
This document is signed without a notary; the parent or guardian and physician sign and date the applicable forms.
How to submit this form
- 1
Download the Forms
Download the asthma emergency treatment forms for Lake Poway Day Camp.
- 2
Complete the Forms
Have the physician complete Part I of the authorization. The parent or guardian completes Part II, the waiver, and the policy acknowledgment.
- 3
Gather Prescribed Medication
Bring the prescribed medication needed to follow the authorization instructions, properly labeled by a pharmacist.
- 4
Submit at Camp Check-In
Bring all completed forms to camp staff during check-in on the child’s first day of camp.
Frequently asked questions
- Do I need a notary for the asthma emergency treatment forms?
- No. The forms do not require notarization; the parent or guardian and physician sign and date the applicable forms.
- How do I submit the asthma emergency treatment forms?
- Bring all completed forms to camp staff during check-in on the child’s first day of camp.
- Who completes the asthma authorization?
- The child’s physician completes Part I, and the parent or guardian completes Part II and signs the authorization.
- What else should I bring on the first day of camp?
- Provide the prescribed medications needed to follow the authorization instructions. The medication must be properly labeled by a pharmacist.
Need something notarized?
This Emergency Treatment for Children With Asthma doesn’t need a notary — but if you have another Poway form that does, a commissioned online notary can help.