Poway, CA · San Diego County
Lake Poway Day Camp Health History, Waiver and Photo Release
Parents or guardians complete this form to provide a child’s health information, authorize emergency care and photo use, and agree to camp policies.
What this form is
This form collects a camper’s name, birth date, parent or guardian contact information, health history, and helpful information for staff. It also includes medical and photo consents, liability waivers, the Lake Poway Day Camp pick-up policy, and authorization for alternate people to pick up the child. The form states that it must be returned on the first day of the camp program.
Who needs it
A parent or legal guardian of a child attending Lake Poway Day Camp completes the form and names any alternate people authorized to pick up the child.
How to submit it
Return the completed form on the first day of the camp program, as directed on the form.
About notarization
This document is signed without a notary; the parent or guardian makes a declaration under penalty of perjury and signs and dates the form.
How to submit this form
- 1
Download the Form
Download the Lake Poway Day Camp Health History, Waiver and Photo Release.
- 2
Complete the Form
Enter the child’s information, health history, guardian contacts, and alternate pick-up contacts.
- 3
Review and Sign
Review the consents and camp pick-up policy, then sign and date the form as a parent or guardian.
- 4
Return the Form
Return the completed form on the first day of the camp program.
Frequently asked questions
- Do I need a notary for the Lake Poway Day Camp release?
- No. The form has parent or guardian signature and date fields and a declaration under penalty of perjury; it does not require a notary.
- How do I submit the Lake Poway Day Camp release?
- Return the completed form on the first day of the camp program.
- What information does the form ask for?
- It asks for the child’s and guardians’ details, health history, emergency-care and photo consents, pick-up policy agreement, and alternate pick-up contacts.
Need something notarized?
This Lake Poway Day Camp Health History, Waiver and Photo Release doesn’t need a notary — but if you have another Poway form that does, a commissioned online notary can help.