Retreats

I understand that all medication must be in the container in which it was purchased, which identifies the medication, the dosage, and the time to be given. Prescription medication must include the camper’s name and prescribing physician. I will obtain standing orders from the physician should the infirmary caregiver request more detailed instructions. I give my permission for the infirmary caregiver to administer the prescribed and over the counter medication allowed by the camp physician’s standing orders (e.g. Tylenol, Sudafed, Chlortrimitin and Benadryl). All medication including inhalers, must be given to the infirmary caregiver during registration, to be stored throughout the camp stay. No medication can be administered without the completion of this form and signature of parent or guardian.
I hereby give permission to the medical personnel selected by His Hill to order X-rays, routine tests, and treatments, to release
any records necessary for insurance purposes; and to provide necessary transportation for my child. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by His Hill to secure and administer treatment, including hospitalization for my child. This completed form may be photocopied for trips out of camp. I authorize any physician, nurse, or other health care provider, to communicate with the camp medical staff and the camp director
of His Hill Ranch Camp, or his/her designee about my child’s medical condition, treatment and/or prognosis. I further authorize the camp medical staff to discuss any medical conditions with the director, his/her designee, and the child’s counselor when the medical staff, in its sole discretion, believes such communication to be in the best interest of the child. These authorizations are limited to the summer of 2026.

My child has permission to attend His Hill Ranch Camp Summer 2026 and to participate in all activities, including but not limited to, swimming in the pool and river, low elements, tower and tower related activities, horseback riding, and equine activities.
WARNING:UNDER TEXAS LAW(CHAPTER 87, CIVIL PRACTICE AND REMEDIES CODE), AN EQUINE PROFESSIONAL IS NOT
LIABLE FOR AN INJURY OR THE DEATH OF A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT
RISKS OF EQUINE ACTIVITIES.
I understand that as a participant, my child may be photographed, or videotaped during normal His Hill activities and these photos/
videos may be used in promotional materials. I hereby release His Hill Ranch Camp, Torchbearers His Hill, and its Directors/Owners, employees,
and volunteers from any and all liability due to injury, etc., and realize that the camp activities in which my child will be participating involve a high degree of physical exertion and activity. I understand that His Hill cannot be responsible for lost or broken items and that unclaimed items will be donated to charity one week after my camper’s session. I understand, and will comply with all cabin mate policies and procedures and with all cancellation policies and procedures. I have had sufficient opportunity to read this entire document. I have read and understood the above information and agree to be bound by its terms.