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I,________________________________,

(Name of of Camper)

will have a good time at CampCarefree.  I will not in any way cause someone else to have a bad time.  To help me do this, I will follow the guidelines below.

      I will follow ADA Camp Carefree Rules (posted in my cabin).

      I will follow directions by any counselors and staff.

      I will be helpful to others in my cabin, classes, activities, and at meals.

      I will learn more about how to manage and successfully live with my diabetes.

      I will be nice to others and not hurt anyone, either physically or with my words or actions.

      I will be someone everyone can trust.

 

I understand that I must follow the above guidelines.  If I do not, the camp, along with my parents/guardians, will take actions I may not like.

 

Camper

________________________________ ________
  Signature Date

Parent/Guardian

________________________________ ________
  Signature Date

Cabin Counselor

________________________________ ________
  Signature Date

Director

________________________________ ________
  Signature Date
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Last Updated 3/19/2015

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