ACTIVITY PARTICIPATION AGREEMENTActivity Participation Agreement • August 16th, 2018
Contract Type FiledAugust 16th, 2018Heart trouble Diabetes Lung trouble Skin trouble Ear trouble Asthma Sinus infection Date of last Tetanus: Food Allergies: Medication Allergies: Other allergies: List all medications & dosage: All medication participant is presently taking, including over the counter, must be in original bottle from pharmacy indicating dosage, intervals and participant’s name. **Please make sure all medication is turned in to designated personnel upon arrival!!