Authorization for Child Release Form
In addition to the parents listed on the Health and Wellness form, International Sports Centre requires that parents/guardians provide a list of authorized persons who may pick up their child from ISC Summer Day Camp. The names of all authorized persons must be on file with the Camp Office prior to your child’s attendance. Only authorized persons will be permitted to pick up children from the camp. To make changes to this form you may do so by emailing the Camp Administrator. Please make sure that any person (including parents) picking up your child has proof of identification at all times. Any changes/additions to this list MUST be done in writing. PLEASE NOTE: Under no circumstances will we release campers to anyone who is not listed below. I authorize the following individuals to pick up my child from ISC Summer Day Camp:
CAMPER NAME: *
Your answer
CAMPER GRADE as of January 2019 *
Your answer
CAMPER NAME: (if more than one camper per family)
Your answer
CAMPER GRADE as of January 2019
Your answer
CAMPER NAME: (if more than one camper per family)
Your answer
CAMPER GRADE as of January 2019
Your answer
CAMPER NAME: (if more than one camper per family)
Your answer
CAMPER GRADE as of January 2019
Your answer
PARENTS ARE THE ONLY ONES APPROVED FOR PICK UP: *
Required
Name & Phone Number
Your answer
Name & Phone Number
Your answer
Name & Phone Number
Your answer
Name & Phone Number
Your answer
Name & Phone Number
Your answer
Name & Phone Number
Your answer
PARENT/GUARDIAN AGREES TO:I understand and agree that ISC Summer Day Camp’s staff may release my child at the end of the day only to the above named individuals. I also understand that no one will be permitted to pick up my child without identification. Sign electronically below: *
Your answer
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