PERMISSION FOR AUTHORIZED PICKUP Please complete this form when your child will be picked up by someone other than parents. Name of child/children* Name of person/s authorized to pick up my child/children* Relationship* Phone number of authorized person* Date/s of authorized pickup* Comments: Parents signature; to be used as electronic signature* First Name Last Name Date signed* Month Day Year Submit Should be Empty: This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.