Leadership Development / Salt Program Universal Permission Form

LDP/Salt Universal Permission Form

Name of LDP

First

Last

He/she may leave with an older sibling?(Required)

Yes

Not Applicable

He/she may leave with another camp friend's parents?(Required)

Yes

He/she may leave with other adult family friends who are in the area?(Required)

Yes

If yes to adult family friends, their names are:

He/she may NOT LEAVE UNDER ANY CIRCUMSTANCE(Required)

Yes

My camper MAY NOT LEAVE with (list anyone not permitted)

This form shall serve as permission for my child to leave camp property on the designated camp Visiting Day programs only as approved above.(Required)

I also give permission for Christian Camps and Conferences, Inc. to transport my child throughout New England and into Canada.(Required)

Name of person signing form

First

Last

Date