PARENT DROP-OFF/PICKUP DESIGNEE FORM

 

Your child is precious! Print this form and return to Mrs. Vagi if anyone other than yourself will transport your child to/from camp or if your child has permission to leave camp on their own without adult supervision. Designees must present photo ID at time of pick-up. Thanks!

 

PLEASE PRINT ALL INFORMATION CLEARLY

 

To have others pick up your child  

 

I, __________________________________________________ the parent/guardian of (Parent/Guardian Full Name)

 

_______________________________________________hereby give permission for (Camper's Full Name)

 

______________________________________________________________to pick up my

 

child on the following dates (s):

 

_______________________________________________________________________

 

To ensure my child's safety, I will remind my designee to bring photo identification because it is required at pickup.

 

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To allow your child to be released on their own

 

I, _____________________________________________________, the parent/guardian

 

of ______________________________________________________, hereby give

 

permission for ______________________________________________________, to be

                      (Camper's Full Name)

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released at the end of camp on their own without adult supervision and release Music Adventures Camp, Inc. from any and all responsibility.

 

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ALL - Please Sign

 

A phone number where I can be reached if there are any questions at the pick-up time is:

 

__________________________________________________________________________

 

Thank you for your cooperation.

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Parent signature________________________________________