Camper Release Form

CAMPER RELEASE FORM

CHILDREN’S THEATRE 2019 SEASON AT THE SAILING CAMP PARK IN OAK BLUFFS

CAMPER NAME (s):
Camper Name:
Camper Name:
Camper Name:
Camper Name:

Please fill out the following:

Names of people and their relationship to your child(ren) who have your permission to pick up your child at the end of the camp day:
Name:
Tel#:

Name:
Tel#:

Name:
Tel#:

Name:
Tel#:

Does your child(ren) have permission to walk or bike home after camp?
YesNo

Parent/Guardian Name:

Parent/Guardian Email:

Parent/Guardian Signature (click mouse in box to draw signature)


Date (click mouse in box to draw date):

Please notify us immediately if there are any changes to this list.

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