2022 Food Allergy Emergency Care Plan

Paper Form

To simplify the form submission process, it is preferred you complete the online form below. If you would still prefer to submit mailed forms, you may download this form in a printable format here and mail it to your respective conference’s registrar along with any additional forms or payment. Thank you!

Begin Online Form

     

    Conference


    Labor Day Family
    Post High
    11/12
    9/10
    7/8
    4/5/6

     

    Information











    Common signs of an allergic reaction (this is not an exclusive list of symptoms)
    MOUTH Itching; tingling; swelling of lips, tongue or mouth
    THROAT Itching and/or a sense of tightness in the throat, hacking cough
    SKIN Hives, itchy rash, swelling about the face or extremities
    GI Nausea, vomiting, abdominal cramps, diarrhea
    LUNGS Shortness of breath, repetitive coughing, wheezing
    HEART “Thready” pulse, dizziness or fainting




    NOTE: Different symptoms may occur with any reaction and severity of symptoms can change rapidly. A high level of suspicion needs to be maintained for any symptoms exhibited by someone with food allergies. ACT QUICKLY!!

    If ingestion is suspected and/or symptoms are present, IMMEDIATELY DO THE FOLLOWING:




    2. CALL 911 & THE CAMP NURSE

    3. CONTACT PARENT/GUARDIAN/DESIGNEE

     

    Emergency Contact Information




































     
    Please select at least one conference before submitting the form.