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Childs Name
Please list all individuals who are authorized to pick up your child from OCM, This form must be completed and returned before the first day of camp.
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I. Personal Information (please print) II. Authorized Pick Up
Authorized individuals must pick up the child in person and may be requested to show identification to program staff. Children will not be released to persons
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AUTHORIZATION TO PICK UP CHILD
Please list all persons authorized to pick up the child or to notify in case of emergency. (Special Note: Please include the names of the parents who are
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