Camper Release form

Camper Name *
Camper Name
Adults Authorized To Take Youth To & From Professor Qwbli’s Summer Camp
Authorization is granted for the release of the aforementioned camper to employees, staff, volunteers, & camp staff of Professor Qwbli’s. In addition, ONLY those individuals listed below are authorized to remove camper from summer camp during their period of camping. You must designate at least one adult and supply their telephone number.
Parent/Guardian #1
Parent/Guardian #1
Phone
Phone
Parent/Guardian #2
Parent/Guardian #2
Phone 1
Phone 1
Other Adult
Other Adult
Phone
Phone
Other Adult
Other Adult
Phone
Phone
Other Adult
Other Adult
Phone
Phone