Algonquin Students' Association | Pick-up / Drop-off Intake Form

Please Note:

If you are registering more than one child, please fill out a separate intake form for each child.

Drop Off / Pick Up Information

If there will be a different guardian doing drop offs or pick ups that has not been indicated as the primary or secondary contact, please send in the required information:

Camper's Full Name

First Last

Designated Pickup Person(s)

Full Name

Relationship to Camper

Cell Phone

Click ⊕ to add another person. Max. 7 people.

Are there any court orders or custody restrictions which would prevent us from communicating with either parent/guardian?

Yes

If yes, we will contact you for additional information.

Parent Signature:

Early Sign-Outs / Late Sign-Ins / Appointments

Will your camper be signed out early, signed in late, or signed in & out for an appointment for any of the following camp days? If yes, please fill in the times your camper will be arriving or leaving.

Early Sign-Out Time: When your camper will be picked up before the regular end of camp.
Late Sign-In Time: When your camper will arrive after the regular start of camp.
Appointment – Sign In & Out Times: When your camper will leave and an approximate return during the camp day for an appointment.
Additional Notes: Any details the camp should know. EX – will you be taking more than one camper? Returning after early sign out? Etc.

Click ⊕ to add another day. Day range: Monday to Friday.

Early Sign-Outs

Day (Monday, Tuesday, Wednesday, etc.)

Early Sign-Out Time

Example: Monday 2:30pm

Late Sign-Ins

Day (Monday, Tuesday, Wednesday, etc.)

Late Sign-In Time

Example: Friday 11:00am

Appointment Sign-Ins & Sign-Outs

Day (Monday, Tuesday, etc.)

Appointment Sign-In Time

Appointment Sign-Out Time

Additional Notes:

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