St. Xenia Camp Parental Consent Form
This must be read and digitally signed by the camper's parent(s)/guardian(s) in order for the camper to attend camp.
Name of Camper *
Your answer
Please read the following carefully and sign below.
Name of Parent/Guardian #1 *
Your answer
Name of Parent/Guardian #2
Your answer
Initial of Parent / Guardian #1 *
By initialing this document, you agree that this constitutes a legal signature of this document.
Your answer
Date of Signature *
MM
/
DD
/
YYYY
Initial of Parent / Guardian #2
By initialing this document, you agree that this constitutes a legal signature of this document.
Your answer
Date of Signature
MM
/
DD
/
YYYY
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