Summer Camp Discharge Form

Summer Camp Discharge Form
Please complete this form to authorize the discharge of your child from the summer camp.
Child's Full Name
First NameLast Name
Parent/Guardian Full Name
First NameLast Name
Date of Discharge
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Reason for Discharge
Parent/Guardian Signature
Clear
Should be Empty: