Camper Attendance Form
Camper Attendance Notes
If your child is being picked up early, dropped off late or will be absent from camp, please fill out the form below.
CAMPER FIRST NAME
CAMPER LAST NAME
PARENT FIRST NAME
PARENT LAST NAME
PARENT PHONE #
My Child Will Be:
Picked Up Early
Dropping Off Late
DATE OF ABSENCE
REASON FOR ABSENCE (not required)
Parents must check in Children arriving to camp late at the main office before they can join the camp program.
DATE OF LATE DROP OFF
TIME OF LATE DROP OFF
Children must be signed out from the main office before you take them home. All parents are required to show ID. Please bring a photo ID with you.
DATE OF EARLY PICK UP
TIME OF EARLY PICK UP
CHILD'S BUS ROUTE (not required)
CHILD'S GROUP NAME (not required)
By checking the above checkbox, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.
I agree that I am the Parent or Legal Guardian of the Camper named above, that I am 18 years of age or older, and that I have the legal authority to grant this permission to Valley Mill Camp Inc