MLTR Delegate Registration 2026

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Parent Permission

Overnight Program Registration Form

Hello,

{186918425} has registered for {186918427}. We're excited to welcome them to AWSL!

Please review the registration information below, complete the medical and contact information, and sign the parent permission form so your child may attend.

Thank you! We look forward to seeing {186918425} soon.

Parental permission is required to attend our programs, as well as authorization to seek medical attention if necessary.

Cancellation Policy
Most financial arrangements are conducted through the school's processes. Please get in touch with your advisor if any changes to attendance are anticipated.

Summer Sessions:

Cancellations after June 15
No refunds will be issued.

Substitutions
Same-gender substitutions are allowed up to the day before camp at no additional cost.

Early Departure / No-Shows
Full charges apply for participants who leave early or fail to attend camp.

Cancellation Requirements
All cancellations must be submitted in writing by a school official by the specified deadlines. Please contact your school advisor for any questions.

Child's Cell Phone
Please enter a valid phone numberFormat: (000) 000-0000.
Home Phone
Please enter a valid phone numberFormat: (000) 000-0000.
Home Address
City, State, ZIP Code

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County

Parent/Guardian 1 Name

First NameLast Name
Parent/Guardian 1 Primary Phone
Please enter a valid phone numberFormat: (000) 000-0000.
Parent/Guardian 1 Email
example@example.com
Parent/Guardian 1 Other Phone
Please enter a valid phone numberFormat: (000) 000-0000.
Parent/Guardian 2 Name

First NameLast Name
Parent/Guardian 2 Preferred Phone
Please enter a valid phone numberFormat: (000) 000-0000.
Alternate Emergency Contact

First NameLast Name
Alternate Emergency Contact Best Contact Phone
Please enter a valid phone numberFormat: (000) 000-0000.
Relationship to alternate emergency contact

Medical Insurance Company
Enter none if your child is not insured.
Policy Number
Enter none if your child is not insured.
Primary Care Provider
Enter none if your child does not have one.
Date of Last Tetanus Shot
Enter unknown if you don't know.
Available Over-the-Counter Medications

I authorize the camp health staff to administer the following over-the-counter medications to my child, if needed and according to label directions.
- Ointments for minor wound care, first aid (Antiseptic, anti-itch, anti-sting, antibiotic, sunburn)
- Tylenol/Acetaminophen
- Ibuprofen
- Throat lozenges and or spray for sore throat
- Micatin or anti-fungus treatment for athlete’s foot
- Kaopectate or Imodium for diarrhea
- Milk of Magnesia, Pepto Bismol or Mylanta for upset stomach or nausea
- Rolaids or Tums for acid reflux, heartburn, or indigestion
- Benadryl for swelling, hives, allergic reaction
- Actifed or Sudafed for nasal congestion or allergy relief
- Visine or other eye drops for minor eye irritation
- Medicated lip ointment for dry, chapped lips, lip blisters or canker sores
- Swimmer’s ear drops
- Hydrocortisone ointment for mild skin irritations, poison ivy, and insect bites
- Medicated powder for skin irritation
- Robitussin or other cough syrup
- Calamine lotion for bug bites and poison ivy
- Sunscreen
- Bug repellent
Program staff reserves the right to use generic equivalents when available for the name brand over-the-counter medications listed above.

I understand that such medication will not be given under the supervision of medical personnel. I also agree that any first aid treatment may be given as needed.

Any condition which is associated with fever, significant inflammation, and/or does not respond to the above-outlined treatment will be followed-up by a consultation with the Participant’s parent/guardian. The parent/guardian will be contacted if any
conditions develop requiring treatment with any of the above over-the-counter medications that are not checked.

I understand that these over-the-counter medications are not necessarily kept on hand and available to be administered immediately.
Do you authorize health staff to give your child over-the-counter medications?
List any medications your child should not receive, including any allergies or adverse reactions.
Enter none if there are none.
What would you like us to do if your child needs pain relief, allergy relief, or first aid?
Mandatory Guidelines for Medication Administration

All medications must be turned in to health staff at check-in. Campers are not permitted to keep medication in luggage or dorms. (Exception: emergency medications)

Prescription medication must only be given to the child named on the prescription. Prescription medication must be labeled with: child’s first and last name, the date the prescription was filled, the name and contact information of the prescribing health professional, dosage amount, length of time to give the medication, and instructions for administration and storage.
Any current medications to be taken at this session?

Medication Administration

Rows	Name of Medication (as it appears on medication container):	Dose	Route	Frequency:	Reason for Giving Medication to Child/Medical Need:	Additional Information:
Med 1
Med 2
Med 3
Med 4

Dietary requirements: Due to our family-style meal service, we can accommodate the dietary needs listed below. If you have a severe food allergy or another dietary need, please provide details below. We will make every reasonable effort to accommodate requests but cannot guarantee an allergen-free environment.
Please provide details for any dietary restrictions, food allergies, or meal accommodations:
Does your child have a nut allergy?
Is the nut allergy airborne or ingested?
Does your child have a life threatening allergy?
Please describe the allergy and what we should watch for.
Will you be sending an epi-pen?
Should your child avoid any type of activity?
Please describe the activities your child should avoid.
Does your child have a medical device (Ex. glucose control monitor/CPAP machine)?
If yes, please explain in detail the type of device.
Does your child have any support needs or disability accommodations that you would like the counselors to know about?
What would help the counselors support your child at camp? You can also attach a document below.
you may also attach a document at the end of this registration form.
Document upload: If your child has any medical form/instructions to share, please upload below

Cancelof

In this section, "the Program" means the Washington School Principals' Education Foundation, the Association of Washington School Principals, the Association of Washington Student Leaders, and their staff, volunteers, contractors, and program sites.

Permission to attend
As the parent or guardian, I give permission for my child to attend an AWSL summer leadership session at the campus where their session is held. I understand the session is supervised by Program staff. I have read the cancellation policy above.

Conduct and early dismissal
I understand this is a school-sponsored event and that all school policies apply, including those on harassment, intimidation, and bullying. My child has agreed to the delegate conduct expectations.

I understand that if my child does not follow them, my child may be sent home before the session ends, that transportation home is my responsibility and at my expense, and that my child's school will be notified.

Medical authorization
I authorize the Program to obtain medical care for my child if such care becomes necessary. In an emergency, I understand that every reasonable effort will be made to reach me or another contact I have listed on this form.

I grant permission to a licensed health care professional or accredited hospital and their associates to perform the medical procedures they judge necessary to treat my child. I agree to be responsible for the cost of that care.

Acknowledgment of risk
I understand that AWSL sessions, including team-building activities at Cispus and Pinelow Park, involve physical activity and carry inherent risks of injury to people and property, regardless of the safety precautions staff take to reduce those risks.

I voluntarily agree to allow my child to take part in these activities. I understand that how much my child participates in any activity is my child's choice, and that it is my child's responsibility to tell a staff member if they want to change their level of participation.

Illness and communicable disease
I understand that participants gather, eat, and sleep in shared spaces, and that some risk of exposure to communicable illness exists at any residential program. Participants are not required to show proof of immunization or to wear masks unless state or local guidance requires it.

On behalf of myself and my child, I accept that risk and release the Program from liability for any claim arising from my child's exposure to communicable illness during the session.

Certification
I certify that the information I have provided on this form is current, accurate, and truthful to the best of my knowledge. I have read the liability releases that apply to my child's participation.
May we use photos or video of your child?
Name of person completing this form
Relationship to child
Complete this form as soon as you can
Your child's registration is not complete until we have this form.

We also use your answers to plan meals, housing, and health support for the week. We finish that planning before we send your camp welcome letter, about two weeks before the session, so the sooner we have your form, the better we can prepare for your child.

If your child's session is less than two weeks away, please complete this form today.

If your child needs to leave before the session ends
If your child becomes ill and is too sick to stay, we will call you, and they will need to go home.

The same rule applies to illness and to any planned early departure. Whoever picks up a delegate must be a parent or guardian, or an adult you have authorized in a signed letter already on file with us. They will need to show photo ID and check your child out in person with the camp director.

If you already know your child will leave early, please inform your school advisor and the camp director in advance. If you want to authorize someone other than a parent or guardian, email a signed letter to Team@awsleaders.org before your child's session.

To reach us during your child's session:

MLTR Pinelow (Eastern Washington) ~ Oct. 16-18
- James Layman, AWSL Director (james@awsleaders.org)
- Cell: 509.868.4732
MLTR Cispus (Western Washington) ~ Oct. 27-29
- Travis Ruhter, AWSL Associate Director (travis@awsleaders.org)
- Phone: 360.497.5323
How we use this information
We use what you share here to keep your child safe and supported during the session. Medical, dietary, and accommodation information is shared with our health staff and the counselors working directly with your child. We do not sell it or share it outside the program. We keep these records for seven years.

Questions
Email: Team@awsleaders.org

Before camp, including your camp letter and registration details: 360-359-7060

For questions about payment or changes to your child's attendance, please contact your school advisor.
Parent or guardian signature.

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