Serious Life Threatening Policy Policy: Tulakogee Conference Center Tulakogee (KMAK) is prepared to administer first-aid for their campers. It is EXTREMELY important that the camp administration be made AWARE of ANY situation that requires medical attention beyond first-aid: Examples of but NOT exclusive are: 1. 2. 3. 4. 5. 6. 7. 8. Leukemia – Cancer (under Rx) Diabetic Types I & II Severe Asthmatics (requiring emergency on person inhalers or nebulizers) Chemotherapy Heart condition Organ transplant recipient or on list Growth hormones Severe allergies to insects, food, etc. requiring epi-pen or other extreme meds Tulakogee administration will evaluate each situation individually in determining what measures need to be taken to ensure the camper’s safety and wellbeing during their stay. Please complete this form and return to your church/organization administration prior to registering for camp. Organization ___________________________ Date ____________ Camp date _____________ Campers name __________________________ Age ___________ Condition:___________________________________________________________ ___________________________________________________________________ Who will be accompanying camper (signature/relation to camper): (spouse, parent, guardian) X__________________________________________________________________ This is accurate info (signature): X ______________________________________