Camp Chofetz Chaim Biking/Walking Permission Slip

Camper Information

First Name

Last Name

Grade

Walk/Bike *

Walk

Bike

Who is your son's walking/biking buddy? *

What route will they be taking? *

Additional Camper

First Name

Last Name

Grade

Walk/Bike *

Walk

Bike

Who is your son's walking/biking buddy? *

What route will they be taking? *

Additional Camper

First Name

Last Name

Grade

Walk/Bike *

Walk

Bike

Who is your son's walking/biking buddy? *

What route will they be taking? *

Parent/Guardian Information

Relationship to Participant: *

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Cell Phone

Email Address *

I give my son/s permission to walk/bike to/from camp *

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