Triangle Y Camp is committed to conducting all programs in a safe and enjoyable manner. The safety of our participants is held in high regard, and rules and guidelines have been set in place to minimize the risk involved with all activities. However, participants must be informed of and must understand that there is an inherent risk of injury involved with all recreational activities that cannot be logistically eliminated. Please read the following and apply your signature at the bottom.

I hereby give permission for my child to attend Triangle Y Camp and to participate in all associated activities. I understand that the camp does not carry medical insurance and that I will be responsible for any medical charges my child may incur. I understand the registration deposit and camp fees are not refundable in any circumstance. I, the parent/guardian, am of legal age (18+ years old) and am competent to enter into the aforementioned agreement. I understand that by applying my signature that I am agreeing to these terms, and I understand that they are legally binding.

Media Usage Agreement:

I give permission to Minot Family YMCA and/or YMCA of the USA or any of it chartered member associations in the United States (collectively the Y), and collaborating third parties, I consent, now and for all time, to the making, reproduction, editing, broadcasting, or rebroadcasting of:

• Video film or footage of my child
• Soundtrack recordings of my child
• Photo reproductions of my child
• Any narrative account of my child’s experience at Triangle Y Camp

Field Trip Waiver (for Explorers Camp Only): 

I hereby give permission for my child to attend and to participate in Triangle Y Camp Field Trips for Specialty Camps. I understand that, if the Field Trip requires transport, Triangle Y Camp will rent third-party transit for these field trips (e.g. West River Transit) with professionally trained drivers. I understand that prior to attending the Field Trip with permission, Triangle Y Camp will contact me with the date and location of the Field Trip. I understand that if I do not apply my signature, that my camper will not be able to attend the Field Trip and will stay at camp to participate in regularly scheduled camp activities. I understand that Field Trips are not a mandatory part of this camp experience, and that Field Trips may be cancelled at any time.

CAMPER'S HEALTH HISTORY

All medications (prescription and non-prescription) approved by you for your child must be turned in to the camp Nurse at check-in upon arriving at camp. NO EXCEPTIONS. All medications brought to camp MUST be in their original containers, plainly marked with the child’s name, the name of the medication and the dosage to be given. This includes all over-the-counter medication that your child will need during the week.

Parent Authorization – This section MUST be signed by the parent or legal guardian 

This Triangle Y Camp health information is correct to the best of my knowledge and the child referred to above has my permission to engage in all camp activities. I hereby give permission to the staff at Triangle Y Camp to secure medical and surgical treatment and to provide routine non-surgical care for the child named above while attending camp. I understand that Triangle Y Camp does NOT carry any health or accident insurance on children that are at camp.

Over-the-Counter Medication Authorization Form

Select Over-the-Counter (OTC) medications are available from the camp health office and will be administered at the discretion of the camp health care provider, with the permission of the camper’s parent or guardian.

Note: Unless we have proper authorization, we will not administer any OTC medications to campers.

To be completed by parent or legal guardian:

I give permission for the health care providers at Triangle Y Camp to administer all OTC medications to my camper, consistent with medical directions, if the need arises EXCEPT: (only check medications the camper is NOT allowed to receive)

I understand that these OTC medications are not necessarily kept on-hand and available to be administered immediately, but may need to be retrieved from the camp health office. Camp health care providers will sometimes use generic equivalents for the brand-name OTC medications listed above. I understand that the administration of OTC medications will be done under the supervision of a medical professional. 

I understand that any condition that results in fever, significant inflammation, and/or does not respond to the above OTC treatment will be reported to me. I understand I will be contacted if any conditions develop requiring treatment with any of the above OTC medications that I did not give permission to be used. 

I authorize the administration of the approved OTC medications to my camper as indicated above, as well as general first aid treatment.

TRIANGLE Y CAMP- CAMPER EXPERIENCE INFORMATION 

The following information will be used to provide a rich and meaningful camping experience for your child and will only be available to your child's Cabin Counselor, Health Officer and our Camp Director. Parents please fill out the front page of the form and have your child fill out the backside. If there is any additional information you may share it when you check-in at camp. 

Thanks for the information. We look forward to seeing you at 

Triangle Y Camp this summer.