Summer Camp Emergency Contact Form printable pdf download

Summer Camp Emergency Contact Form

Ocean City Morning Sports Summer Camp Emergency Contact Form

CHILD #1

CHILD #2

CHILD #3

CHILD’S

NAME

BIRTHDATE

LOCAL ADDRESS: ______________________________________________

______________________________________________

PHONE(S): __________________________________________________________

E-MAIL: ____________________________________________________________

PARENT NAME(S): __________________________________________________

EMERGENCY CONTACTS:

NAME #1: _________________________ PHONE: _________________________

NAME #2: _________________________ PHONE: _________________________

MEDICAL CONCERNS:

CHILD #1

CHILD #2

CHILD #3

ALLERGIES:

CHILD #1

CHILD #2

CHILD #3

LIST OF OTHERS THAT MAY PICK UP YOUR CHILD:

1. ______________________________________________

2. ______________________________________________

MY CHILD HAS PERMISSION TO:

_______ walk to/from morning sports (Please initial _____)

_______ ride their bike to/from morning sports (Please initial _____)

Summer Camp Emergency Contact Form