Camper Release Form

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Camper Release Form

Please complete this form even if the parent/guardian of the child intends on picking up the child at the end of the camping week. It will also be used in the case of an emergency, where the parent/guardian is unable to pick up their child throughout the week.

What week did your camper register for?

Week 1 (June 26 - July 1)

Week 2 (July 3 - 8)

Week 3 (July 10 - 15)

Week 4 (July 17 - 22)

Week 5 (July 24 - 29)

Week 7 (August 7 - 12)

Week 8 (August 14 - 19)

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Camper's Last Name *

Camper's First Name *

Please provide the name of the responsible adult who is picking your child up at the end of the week.

Please provide the names of any responsible individuals that you authorize to pick up your child in the event of an emergency or extenuating circumstance that prevents their parent/guardian from being able to pick them up. *

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