Authorized Camp Pick-up Form - Whitewater Center

Camper's Full Name*

First Last

Camper's DOB*

Name of person filling out this form*

Email*

Which Camp is your camper participating in?*

Adventure Camp

Survival Camp

Nature Camp

STEAM

Rock, Ride, Paddle

Kayak 1

Kayak 2

Kayak 3

Select all that apply

Which week(s) of Adventure camp will they be attending?*

Select all that apply

Which week(s) of Survival camp will they be attending?*

Week 3 (6/19 - 6/23)

Week 4 (6/26 - 6/30)

Week 6 (7/10 - 7/14)

Week 7 ( 7/17 - 7/21)

Week 8 (7/24 - 7/28)

Week 9 (7/31 - 8/4)

Week 10 (8/7 - 8/11)

Week 11 (8/14 - 8/18)

Select all that apply

Which week(s) of Nature camp will they be attending?*

Week 3 (6/19 - 6/23)

Week 4 (6/26 - 6/30)

Week 6 (7/10 - 7/14)

Week 7 ( 7/17 - 7/21)

Week 8 (7/24 - 7/28)

Week 9 (7/31 - 8/4)

Week 10 (8/7 - 8/11)

Week 11 (8/14 - 8/18)

Select all that apply

Which week(s) of STEAM camp will they be attending?*

Week 3 (6/19 - 6/23)

Week 4 (6/26 - 6/30)

Week 6 (7/10 - 7/14)

Week 7 ( 7/17 - 7/21)

Week 8 (7/24 - 7/28)

Week 9 (7/31 - 8/4)

Select all that apply

Which week(s) of Rock, Ride, and Paddle camp will they be attending?*

Week 2 (6/12 - 6/16)

Week 3 (6/19 - 6/23)

Week 8 (7/24 - 7/28)

Week 9 (7/31 - 8/4)

Select all that apply

Hidden

Which week(s) of BC camp will they be attending?*

Week 4 (6/26 - 6/30)

Week 7 (7/17 - 7/21)

Select all that apply

Which week(s) of Kayak 1 camp will they be attending?*

Select all that apply

Which week(s) of Kayak 2 camp will they be attending?*

Week 2( 6/12 - 6/16

Week 4 (6/26 - 6/30)

Week 7 ( 7/17 - 7/21)

Week 9 (7/31 - 8/4)

Week 11 (8/14 - 8/18)

Select all that apply

Which week(s) of Kayak 3 camp will they be attending?*

Week 3 (6/19 - 6/23)

Week 6 (7/17 - 7/28)

Week 8 (7/24 - 7/28)

Week 10 (8/7 - 8/11)

Week 12 (8/21 - 8/25)

Select all that apply

Hidden

Which week(s) of LIT camp will they be attending?*

Week 3 & 4 (6/19 - 6/30)

Week 6 & 7 (7/17 - 7/28)

Select all that apply

Campers may only leave with an authorized person aged 16 or older. As indicated on the Authorized Camp Pick-up Form and carrying a valid ID. If your camper will be driving themselves to/from camp, please put their information as an authorized pick-up.

Full Name*

Relationship to Child*

Cell Phone*