Summer Camp Return Transportation Signup Form

Summer Camp Return Transportation Signup Form
Camper Details
Name
First NameLast Name
Age
Gender
YesNo
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
School Name
Grade Level
Does the student have allergies? If yes, please indicate them below:
Is the student currently taking any medications? If yes, please list them below:
Parent/Guardian Information
Name
First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Relationship
Father, Mother, Aunt, etc.
Start Date of Summer Camp
MonthDayYear
Date
End Date of Summer Camp
MonthDayYear
Date
Time of Return
Hour Minutes
AM/PM Option
Pickup Location
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Drop off Location
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Preferred Transportation
CarBusVanMulti-purpose VehicleOther
Fees
prevnext( X )
Base Transportation Fee
$20.00Quantity

Total
$0.00
Additional charge will be processed based on the location of the drop-off
Payment Method
CashCredit CardCheckWire TransferBank TransferPayPal
Agreement
I confirm that the camper should be on time for the pick-up time and a 10-15 minutes allowance will be given if the camper is late.
I understand that during transportation, the camper must wear a face mask and follow health protocol to prevent infection.
I confirm that the camper must sit on their designated or assigned seats.
I release the transportation group from any liabilities or damages that can result in injury, paralysis, illness, or accidents that might happen during the transportation.
Parent/Guardian Signature (If camper is in legal age, he/she can sign to)
Clear
Date Signed
MonthDayYear
Date
Should be Empty:

Summer Camp Return Transportation Signup Form

Camper Details

Parent/Guardian Information

Agreement