Camper Pick Up Substitute Form – Carroll Gymnastics, Inc.

Select Camp*
- TOT CAMP, 9:00am-12:00pm
- TUMBLING CAMP, 12:30-3:30pm
- FULL DAY, 9:00am-3:30pm
Camper's Name*
First Last
Pick Up Name
First Last
Pick Up Phone #
Pick Up Days (Select all that apply)
(Ctrl-Click to select multiple days)
Alternate Pick Up Name
First Last
Alternate's Phone #
Alternate's Pick Up Days (Select all that apply)
(Ctrl-Click to select multiple days)
Consent
I give permission for the above person(s) to pick up my child during camp at Carroll Gymnastics.
Parent/Guardian's Name
First Last
Date
MM slash DD slash YYYY
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