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2. Vernon Township Summer Camp Carpool List 2026
4. Camper's Name*
5. Camper's Age Group*
7. In the space provided below please include ANYONE (including grandparents, relatives, step-parents, partners, neighbors, friends, etc.) who is permitted to pick up your child from camp.
9. If during the camp year you would like to add a person to this list, a note must be written and signed by a parent. We will not accept phone calls or e-mails about issues during the camp day. “This is my written permission for my child/ward to leave camp with the following individuals:”
11. Parent/Guardian 1*
12. Parent/Guardian 2
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34. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
36. Electronic Signature*
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37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

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