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Authorization for Pickup
Attention 6-12th grade parents! This form was NOT included in your child's registration form. Please fill this out as soon as possible, so that we have an accurate record of who is allowed to pick your child up from school. Please complete a separate form for each child. Anyone not included on this form will not be able to pick your child up from school. Thank you!
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Your child's name: *
Parent/Guardian Name:  *
Parent/Guardian Phone # *
Person 1, relation to child, & phone #:
(EX: John Smith, grandfather, 123-456-789)
Person 2, relation to child, & phone #:
Person 3, relation to child, & phone #:
 *
Person 4, relation to child, & phone #:
Person 5, relation to child, & phone #:
Person 6, relation to child, & phone #:
Person 7, relation to child, & phone #:
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