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Pickup authorization form template

Have each family name the adults who may pick up their child. Keep the signed form where staff can check it at pickup.

What the form covers

  • The child, the program, and the parent or guardian
  • Adults allowed to pick up, with their relationship and phone number
  • Adults who may not pick up, and a place to attach a court order
  • An optional pickup PIN, pickup rules, and a signature line

This form is a starting point, not legal advice. Review it for your province, and with your insurer, before you use it.

Get the template

Enter your email to open the form. Print it, or edit it in Word or Google Docs.

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For the other forms a camp needs, read our guide to camp waivers and consent forms.

To check these names at pickup, see Campix pickup software.

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