Permission to Leave Camp | Camp Med-o-lark

This form is essential for the camp administration to clearly record your preferences concerning your camper’s permission to leave camp, particularly when a relative or friend arrives or if there is a custodial issue in a family. If you have checked the box indicating your camper is not permitted to leave camp, or if we do NOT have this e-signed form on file, Camp Med-o-lark will not allow your child to leave camp with anyone except the child’s parent/guardian or our camp staff.

Maine Creative Arts Sleepaway Summer Camp

Camper Name

Choose one options(required)

By a friend or relative listed below.

I DO NOT give permission for my child to be taken out of camp by any individuals other than the parent/guardian or camp staff.

I hereby authorize that restrictions and length of stay out of camp for my child may be determined by the person(s) I have authorized above.

I understand that Camp Med-o-lark assumes no liability for any injury, illness, or other circumstances that may occur off of the camp’s property under the supervision of these appointed adult(s). I also grant that it is not necessary for the camp or any individual to contact either myself or any other legal guardian(s) of my child prior to my child’s departure from the camp property with these appointed adult(s). I understand that by checking this box, I agree to the above paragraphs.

I DO GIVE permission for my child to be taken out of camp by the following individuals: