Parent Name: First Name Last Name Camper(s) Name First Name Last Name First Name Last Name The following people are authorized to pick up my child from the Camp Gan Israel Summer Camp. I understand my child will be allowed to leave with these individuals and the individuals included on the original camp registration form only. I also understand that the person picking up my child must do so in person. Children will not be allowed to leave without being signed out. Photo identification may be asked for. Name: First Name Last Name Phone Number: Area Code Phone Number Relationship to camper Name First Name Last Name Phone Number Area Code Phone Number Relationship to camper The following individuals are not permitted to pick up my child: Name: First Name Last Name Phone Number Area Code Phone Number Relationship to camper Name First Name Last Name Phone Number Area Code Phone Number Relationship to camper Comments Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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