(Please print.)
| The following persons are authorized to pick up ___________________________ from Camp Rockfish. |
(child's name) |
Name (Please print.) |
Address |
Phone # |
I understand that only those persons listed above will be authorized to pick up my child.
Signature:________________________________Date_________________
Name:________________________________________________________
(Please print)
| Day Camp only- For every 15 minutes after 5:30 pm, ( 6:00 pm in the Summer) a late pick-up fee of $5.00 will be |
| charged per child. |