**YOUR CHILD IS PRECIOUS!  PRINT THIS FORM & RETURN TO MISS NICOLE BY THE FIRST DAY OF CAMP IF ANYONE OTHER THAN YOURSELF WILL TRANSPORT YOUR CHILD TO/FROM CAMP. DESIGNEES MUST PRESENT PHOTO ID AT TIME OF PICK-UP. THANKS!

PLEASE PRINT ALL INFORMATION CLEARLY:

I, _________________________________, the parent/guardian of                

      (Parent/Guardian Full Name)                                                                

___________________________________, hereby give permission for    

           (Camper’s Full Name)                                                                     

___________________________________ to drop off/pick up my child on 

          (Designee’s Full Name)                                                   

the following date(s): _______________________________________________. 

To ensure my child’s safety, I will remind my designee to bring photo identification. 

A phone number where I can be reached if there are any questions at the pick-up time is (______)________-___________.  Thank you for your cooperation.   

Sincerely,  

_____________________________________    _________________  
Parent/Guardian Signature                             Date