CAMP – PICK-UP AGREEMENT – ADEC

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CAMP – PICK-UP AGREEMENTchristmasz2023-03-15T13:27:49-04:00

CAMP - Camper Pick Up Agreement

Camper's name:(Required)

The following individuals are ALLOWED to pick my camper up: (Please list names AND contact phone numbers.)

The following individuals are NOT ALLOWED to pick my camper up:

Should any changes to this list be required at any time, please contact Christy Irwin at 574-349-5096 or by email at [email protected].

Parent/Guardian Signature:(Required)

Date:(Required)

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ADEC ADMINISTRATION BUILDING: 1671 W. Vistula St. BRISTOL, INDIANA

(574)848-7451 – [email protected] – OFFICE HOURS: M-F 8AM – 4:30PM

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