Please fill in the medical form before camp starts. Medical Information Athlete's Name* First Last Email*Athlete's or guardian filling out form. Past and current lacerations, injuries or illnesses:Allergies (food, animals, etc.)/special dietary needs: Special medication taken (Reason)Medication to be taken during Running Program (Reason)Be sure to let me know why you take this medication.Our activities will take place in an outdoor environment. The Sun is potent; pack a hat and sunscreen. Any other helpful informationFamily DoctorDR. PhoneName of Insurance Carrier*Insurance Member Name*Policy/Group #What does 4 + four = ?*Please enter a value between 8 and 8.