Child Drop Off Form:

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InPlay! 4035 Santa Barbara Blvd, Naples FL 34104 (239-963-9716)

Email *

First Child's Name *

Siblings Name:

Authorized pick up list: (Name, Phone #, Relation) *

Anything special we should know about the child (allergies, etc...)

Media permission. Children love to see photos and videos of themselves and their friends. We sometimes use photos and videos to record our projects and games. Please indicate if you give permission for your child’s photo or video to be taken during camp on social media.
*

Yes, I do give permission for my child to be be photographed/video on social media (Facebook/Instagram)

No, I do not give permission for my child to be be photographed/video on social media (Facebook/Instagram)

Parent Signature (your typed name serves as a legal signature here) *

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