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2024 Drop Off/Pick Up Authorization Form
Please list the name of people who are authorized to drop off and pick up your child. Their spot in camp will not be secured until all registration forms are completed.
**PHOTO IDENTIFICATION IS REQUIRED FOR PICK UP FROM CAMP**
* Indicates required question
Email
*
Record my email address with my response
Email
*
Your answer
Last Name of Camper
Your answer
First Name of Camper
*
Your answer
Name of Parent/Guardian
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Please check which camps you are attending
*
Disney's Lion King JR
Disney's Newsies JR
Both
Required
My camper may be released to the following adults (including carpool drivers, or those who may pick up in an emergency). Include first and last names, and phone number.
*
Your answer
Other means of dismissal permitted (walking, bicycling, uber, etc.)
Your answer
Please list name(s) of any persons who are NOT permitted to pick up your child.
Your answer
Additional Information
The parent/guardian may send a signed note to make changes to this list. Anyone picking up campers must come inside to sign out the camper, and must show a photo ID. If a person not listed above arrives to pick up a camper, the camper will remain with the camp staff until the parent/guardian has been contacted and has given permission for the release.
Your answer
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This form was created inside of Phillipsburg Area Summer Youth Theatre.
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