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PARENTAL AUTHORIZATION & AGREEMENT FORM Please indicate the name(s) of your child(ren) and the
person with whom your child(ren) are authorized to leave the camp to ride home. NAMES
OF CHILDREN:
PERSON OR PERSONS WITH WHOM YOUR CHILD(REN) MAY RIDE
HOME:
“I understand that my child is required to abide by the rules of conduct and the dress code established by Hilltop Camp. I understand that my child will receive adequate guidance in the event that he/she breaks these rules. I also understand that the camp director may deem it necessary to contact me and ask me to intervene or make arrangements for my child to be returned home if my child refuses to follow the camp guidelines. PARENT’S NAME
PHONE NUMBER(S)
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