Aurora University 2017 Summer Academic Camp

Aurora University 2017 Summer Academic Camp

PICK-UP AUTHORIZATION FORM

(This form must be signed by a parent or guardian if participant is under 18 years old.)

This form must be completed, signed, and returned the first day of camp at check-in.

Person Authorized to pick up camper / Relationship to camper / Contact Number(s)

I understand that each person listed above can pick up my child from Aurora University at any time for any reason. I will inform each person identified above to have a Photo Identification card when picking up my child. I understand that anyone not identified above will NOT be allowed to pick up my child for any reason. AU’s policy is to accept only the Parent/Guardian Signor as the person who may identify persons authorized to pick up your child. By signing below you are confirming that you are your child’s Parent/Guardian.

(Parent/Guardian Signature)

(Print Name)

(Date)