CampWCP Emergency Contact and Authorized Pickup Form
Sign in to Google to save your progress. Learn more
Name of Camper *
Name of Parent/Guardian filling out form *
Relationship to Camper
Emergency Contact Name (First and Last) *
Emergency Contact Preferred Phone Number *
Alternative Emergency Contact Phone Number (optional)
I authorize the following individuals to drop off/pick up my camper to/from CampWCP *
Required
I understand that CampWCP staff will check identification of any individual picking up my camper and that I am responsible for letting camp staff know if any individual needs to be removed or added to my authorized pickup list. *
Required
Authorized Pickup Individual #1
These individuals are in addition to the parent/guardian who fills out this form.
Authorized Pickup Individual #2
Authorized Pickup Individual #3
T-Shirt Size *
How did you hear about CampWCP? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Westport Country Playhouse. Report Abuse