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Early Dismissal Form
For your child’s protection, please complete this form when you find it necessary to pick your camper up early from camp.
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* Indicates required question
Email
*
Your email
Camper's Name
*
Your answer
Early dismissal date
*
MM
/
DD
/
YYYY
Time of Pick-Up
*
Time
:
AM
PM
Parent’s/Guardian’s phone number
*
Your answer
Parent/Guardian picking up your child
*
Your answer
Person’s relationship to your child?
*
Choose
Mother
Father
Grandparent
Nanny, Babysitter, Au pair
Will your child be returning to camp?
*
Yes
No
Maybe
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