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Camper Pick Up Permission Form

Camper’s Name

Date of Camp

Please list everyone who is authorized to pick your child up from camp. Please inform the camp instructor in the morning or email the Family Education Coordinator if there are any changes in who is authorized to pick your child up.

Name of authorized person Primary Phone Number Secondary Phone Number

Parent or Guardian’s Name

Home Ph. Work Ph. Cell Ph.

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

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Timestamp

Audit

January 8, 2026 12:13 pm EDT

Camper Pick Up Permission Form Uploaded by Faith Sadiku - faith@faithnfriends.org IP 172.58.144.201

January 8, 2026 12:34 pm EDT

Elle Mlsna - ellem@faithnfriends.org added by Faith Sadiku - faith@faithnfriends.org as a CC'd Recipient Ip: 172.58.144.201