Summer Camp Drop-off & Pick-up Form
Name of the child
First Name
Last Name
Which of our camps did your child register for?
Drop-off date and time
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Pick-up date and time
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Who is the responsible person for drop-off/pick-up of the child?
Parent/guardian
Other
I hereby authorize the following people to drop off/pick up my child
Parent/guardian name
First Name
Last Name
Contact number
Please enter a valid phone number.
Format: (000) 000-0000.
Signature
Submit
Should be Empty: