Summer Camp Release Form

Caregiver may give consent that their student can sign themselves out and/or leave with another student at the end of camp day.

This release form is only for students ages 12 to 18 and MUST be filled out 2 Fridays prior to the first day of camp.

Caregivers will receive a call from The Rose Studios to verify the form.

Caregiver First Name(Required)

Caregiver Last Name(Required)

Caregiver Email(Required)

Caregiver Phone Number(Required)

Student First Name(Required)

Student Last Name(Required)

Student's Age(Required)

List all summer camps that your student is enrolled in.(Required)

I, the caregiver, give consent that my student may sign themselves out at the end of camp day. I acknowledge that The Rose Studios cannot monitor the student once they have sign themselves out or have left the premises with another student.(Required)

Yes, I give consent.

No, I do NOT give consent.

I, the caregiver, give consent that my student may leave with another student at the end of camp day. I acknowledge that The Rose Studios cannot monitor the student once they have sign themselves out or have left the premises with another student.(Required)

Yes, I give consent.

No, I do NOT give consent.