CAMPER DROP-OFF AND PICK-UP

AUTHORIZATION FORM

 

Who will drop your child off at camp on the first day and pick your child up on the last day of camp?

Please list all possible persons, including yourself. Campers cannot be received or released to anyone not on this

list without the verbal or written permission of the authorized parent/guardian.

 

Joy of Living Camp reserves the right to view identification for the person(s) named below to insure your child's safety.

 

CAMPER'S NAME

*
First Name
Middle
Last Name

PERSON #1 (REQUIRED)

Name *
First Name
Middle
Last Name
Relationship to Camper*
Cell Phone Number:*

PERSON #2  (OPTIONAL)

Name
First Name
Middle
Last Name
Relationship to Camper
Cell Phone Number

PERSON #3 (OPTIONAL)

Name
First Name
Middle
Last Name
Relationship to Camper
Cell Phone Number

PERSON #4 (OPTIONAL)

Name
First Name
Middle
Last Name
Relationship to Camper
Cell Phone Number

AUTHORIZING SIGNATURE

By entering your name below and submitting this form to Joy of Living Camp by clicking the "SUBMIT" button, you are stating you are the camper's (named above) legal parent or guardian with authority to grant the permissions contained herein.

AUTHORIZED SIGNATURE *
First Name
Middle
Last Name
Relationship to Camper*
Cell Phone Number*