Emergency Contact Information
Is the applicant currently taking any medication? (Required)
Does the applicant have any allergies? (Required)
Please select the activities the applicant is interested in (check all that apply):
(Required)
Does the applicant have any dietary restrictions?(Required)
I, the undersigned, give permission for my child to participate in the IRTC Summer Camp activities.
In the event of an emergency, I authorize the camp staff to seek medical treatment for my child.
grant permission for my child’s photos/videos to be used for promotional purposes by IRTC.
