Summer Camp Adult Pickup Addendum : Teen Exhibition Council : The Columbus Museum

Adult Pickup Form Addendum

You or an authorized adult must sign your child in and out of this program. Please provide the names of authorized adults who have your permission to pick up your child. Changes to this list will require written documentation.

Adults will be asked to present a photo ID at the time of pick-up. If you need to authorize more adults, please email jsouth@columbusmuseum.com.

Name of Child

First Name *

Last Name *

Date of Birth (Required)

Name of Adult

First Name *

Last Name *

Relationship to Child (Required)

Name of Adult

First Name

Last Name

pc6bt9yecpky

Relationship to Child

Name of Adult

First Name

Last Name

Relationship to Child

Electronic Signature (Required)