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PAC Camper Form 

(Transportation, OTC Meds, & Dietary Restrictions )


Camper Name:*
Camp you are attending*
Will your camper require housing while in Missoula for the performance weekend on ANY of the evenings August 9-12?*
Housing in Missoula is $50 per night per camper. Campers will be housed at a local hostel or hotel with other campers and counselor supervision. MCT has a limited number of housing options. If you are able to provide housing for your camper, please do!
Please check which nights you will require housing while in Missoula for performance weekend:*

Dietary Restrictions

Does your camper have any food allergies or dietary restrictions?*
Due to the significant rise in food costs, MCT is instituting a one-time fee of $105 for campers requiring a vegan or gluten-free diet. Those at North & South Shore requiring one of these special diets, please indicate below.*

Over the Counter Medication

Administration Consent Form


Dear Parents/Guardians,


There may be times while at camp that it is necessary for your child to  receive over the counter medications for mild issues that do not require  treatment outside of camp. This may include, but is not limited to: IBUPROFEN, ACETAMINOPHEN, BENADRYL, ZYRTEC, PEPTO-BISMOL, TUMS,  ROBITUSSIN and TOPICAL CREAMS and OINTMENTS. 


Signing this consent form gives the nurse the ability to use sound judgement and administer over the counter medications as deemed appropriate. Medications will be administered based on the manufacturers' recommendations based on the child's age and weight.


If your child typically takes any over the counter medications at home on a regular basis and plans on bringing them to camp they will be checked-in with all other medications and available to them through the nurse. Signing this consent form also gives the nurse permission to administer any over the counter medications brought from home.


Please remember any prescription medications will need to be on the child's health history form. Please ensure the medications are sent in the original bottle with the correct label and dosing instructions as well.


If you agree to the over the counter medication administration policy, please kindly sign below. If there are only certain over the counter medications you do not wish your child to receive there is a space provided to list those medications, it will then be implied that anything other than what you provide on that list is acceptable.


If you DO NOT want your child  to receive ANY over the counter medications while at camp please check the appropriate box below. Please be mindful that if you check that box, the nurse will not be able to administer over the counter medications to your child under any circumstances.


Thank you so much and I am so looking forward to working with your kiddos and cannot wait to meet them all at camp!


Best,

Tami Caton, RN



Please select one of the following options:*
Parent's Name*
(you'll receive an automated email confirmation once this form submits correctly)
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Transportation

All campers must be very specific with the following details.

If we do not receive accurate transportation at least 2 weeks before camp, we cannot guarantee you transportation assistance.



ARRIVAL INFORMATION

I will be arriving by:*
Please arrive on the same day camp begins. If you choose to arrive early, it is your responsibility to arrange for your own housing.

If you live in the surrounding areas and are not arriving by plane or bus, it is EXTREMELY helpful if you are able to drive your camper to camp. Our shuttle in intended for non-local campers, and we do not have room to transport everyone. There will NOT be a shuttle picking up campers from MCT this year. Shuttles will go straight from the airport to camp. DROP OFF IS FROM 3-5 PM on July 30, 2023.

Car arrival information:*
:  
Month Day, Year - HH:MM AM/PM. Campers arriving by car should get to camp between 3:00-4:00 PM if possible.
I am being transported to camp by:*
Example: 406-555-1234
Bus arrival information:*
:  
Month Day, Year - HH:MM AM/PM
Do you need a ride from the bus station to camp?*
There will be a fee of $10 for transportation to camp
I am being transported from the bus station to camp by:*
Example: 406-555-1234
Plane arrival information:*
:  
Month Day, Year - HH:MM AM/PM
I am flying into the following airport:*
Your camper MUST fly into Missoula to use our transportation assistance to camp.
Example: Delta 2222
Are you traveling as a registered unaccompanied minor with your air line?*
Please ONLY check if your camper is officially registered as an unaccompanied minor, not just that they are a minor traveling alone. If they are registered, the name of the person picking up/dropping off your camper at the airport in Missoula is required. We will reach out with that information.
Do you need a ride from the airport to camp?*
There will be a fee of $10 for transportation to camp.
I am being transported from the airport to camp by:*
Example: 406-555-1234

DEPARTURE INFORMATION


East Shore departs Saturday, August 5, 2023 from Camp Paxson. Check out is from 10AM - 11:30AM. 


North/South Shore depart following the final show on Saturday, August 12, 2023. For those staying in MCT provided housing, campers can be picked up starting at 10AM on Sunday, August 13 from the MCT Center for the Performing Arts (200 N. Adams). 



I will be departing by:*
Car departure information:*
:  
Month Day, Year - HH:MM AM/PM.
I am departing by car with the following responsible adult:*
Example: 406-555-1234
Bus departure information:*
:  
Month Day, Year - HH:MM AM/PM
Do you need a ride to the bus station?*
There is no fee for a ride to the bus station.
I am being transported from to the bus station by:*
Example: 406-555-1234
Plane departure information:*
:  
Month Day, Year - HH:MM AM/PM
Example: Delta 2222
Are you traveling as a registered unaccompanied minor with your air line?*
Please ONLY check if your camper is officially registered as an unaccompanied minor, not just that they are a minor traveling alone. If they are registered, the name of the person picking up/dropping off your camper at the airport in Missoula is required. Please reach out for that information.
Do you need a ride from to the airport?*
There is no fee for a ride to the airport.
I am being transported to the airport by:*
Example: 406-555-1234

I, the parent or guardian of the above mentioned camper (hereinafter “my PAC camper”), give my voluntary consent to his/her participation in using transportation provided by MCT, Inc.

I also recognize that there is an inherent risk in the said transportation, including but not limited to a risk of bodily injury. In consideration of my PAC camper being allowed to be transported by MCT, Inc. to camp, I agree to assume responsibility for all of his/her actions while he/she is at any MCT, Inc. facility, traveling to and/or from any such facility, and while he/she is engaged in an activity under the supervision of an MCT, Inc. approved supervisor, and/or MCT, Inc. staff.

Furthermore, I release MCT, Inc., the Board of Directors, and their officers, employees, and agents and volunteers for any loss, personal injury, accident, misfortune or damage to my PAC camper or any property.

I, the undersigned parent or guardian, consent to the attendance of the above child at the MCT Performing Arts Camp. I am aware of the demands of such an intensive experience and, to the best of my knowledge, my child is physically fit and able to take part.

I, by the execution of this instrument, agree to hold MCT – a non-profit organization – blameless for any and all claims, which might arise as a result of the participation of my child in this program. Should my camper break camp policies, including involvement in bullying or causing physical harm to another camper, I, the parent take full responsibility for transporting my camper home in a timely manner.

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