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Campertunity Sign-up Sheet
Campertunity for UMS
Pinnacles National Park
Friday, May 18 - Sunday, May 20
Parent/Guardian Name *
Your answer
We need parent drivers! Are you able to be a driver*? *
*Note: Drivers must be fingerprinted through SLOCA (forms and instructions can be obtained in the front office). We also require a copy of your Driver's License and Auto Insurance to be on file at SLOCA. Please submit current copies to the front office if you are going to be a driver. Thank you!
If you are able to be a driver, how many spaces do you have in your vehicle?
Your answer
I am not able to drive. My student(s) need(s) a ride.
Are you able to chaperone? *
Camper #1 Name *
Your answer
Camper #2 Name (if applicable)
Your answer
Parent/Guardian Phone # *
Your answer
Parent/Guardian email *
Your answer
Please provide another contact, in case of emergency. *
(indicate name, relationship to student, and phone#)
Your answer
Please check your family file in the front office for important documents to complete. The Release of Liability and Student Contract and payment must be completed and turned in to the front office no later than Friday, May 11th. *
Please type your name below, and this will serve as a "signature." Thank you!
Your answer
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