Permission Slip for Summer Camp Newfield Pool Swim Program I give permission for my child to participate in the Summer Camp Newfield Pool Program. I understand that my child will swim daily from 3pm-5:30pm weather permitting. The pool is located on the corner of Church St. and Helena St. in Newfield. I understand that my child will be accompanied by a camp counselor and that my child will not be permitted in the deep end of the pool unless he or she is able to pass “The Deep End Test”. Parent Name:___________________________________________________ Parent Signature:________________________________________________ Child(ren) name(s):________________________________________________ Grade(s): _________________________________ Parent Daytime Phone Number: _______________________________________

Permission Slip for Summer Camp Newfield Pool Swim Program I give permission for my child to participate in the Summer Camp Newfield Pool Program. I understand that my child will swim daily from 3pm-5:30pm weather permitting. The pool is located on the corner of Church St. and Helena St. in Newfield. I understand that my child will be accompanied by a camp counselor and that my child will not be permitted in the deep end of the pool unless he or she is able to pass “The Deep End Test”. Parent Name:___________________________________________________ Parent Signature:________________________________________________ Child(ren) name(s):________________________________________________ Grade(s): _________________________________ Parent Daytime Phone Number: _______________________________________