carpool.jpg

Junior Gan Israel Day Camp
Pickup Information Form


If your child is using camp-provided transportation to go home, this form is not needed.

 

Only people whom you authorize will be allowed to pick up your child from camp. If you wish to add someone to this list, you need to notify your child's Division Head or Camp Director Mrs. Zeesy Posner in advance.

Please complete a form for each child, and give it to the Division Head in whose group s/he will end his/her day. For your child’s sake, please take the time to fill this out completely.

 

If you would like to print this form and fill it in by hand, please give it to the Division Head in whose group your child(ren) end their day.

Click here to download the printable PDF version of this form.


 

Camper’s Name:

Departing time:

12:00 1:00 3:30

 

Authorized persons:

   

Name:

Home Phone:
Cell Phone:
Name:
Home Phone:
Cell Phone:
Name:
Home Phone:
Cell Phone:
Name:
Home Phone:
Cell Phone:

Pickup Plan – Please list who will be picking up your child each day of the week, and any other comments:

 

Parent Signature: