Misa Hylton Fashion Academy
116 west 23rd Street, 5th floor
New York, NY 10001
This form is to be filled out by the parent/guardian of the camper. This medical history MUST be completely filled out and returned with your child’s registration.
I hereby give permission for camp medical staff to provide routine treatment to my child. I understand that I am responsible for my child’s medical or medication needs and further agree that in an emergency and/or if I cannot be reached, Misa Hylton Fashion Academy, through its agents and employees, may take whatever action is determined necessary with respect to my child’s health and safety. I authorize the Misa Hylton Fashion Academy, its agents and employees, to place my child, at their discretion and without further consent, in a hospital or in the care of a medical services and treatment, and to arrange necessary related transportation for me and/or my child. I understand that I will be fully responsible for any fees and expenses for any service and/or treatment. This completed form may be photocopied for off campus trips.
By registering my child(ren) to attend MHFA Summer Camps 2017 (“Camp”), I agree to the following terms and conditions:
Note: To pay via check or money order, please send payment to the following address: Misa Hylton Fashion Academy 116 West 23rd Street, 5th floor New York, NY 10001
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