Daycare Consent Form 2020 - 2021
Please complete this form the provide consent for your child to dismiss by daycare transportation.
* Required
Email address
*
Your email
Your Name
*
Your answer
Home Phone Number
*
Your answer
Cell Phone Number
*
Your answer
Student's Name
*
Your answer
Please enter your child's grade:
*
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
Please select your child's daycare provider:
*
Choose
Village View
Belleview Playland
ABC Children
Bright Beginnings
Other
Homeroom Teacher
*
Your answer
I give consent for my child be transported by the daycare off campus . I understand that the school is not responsible for my child after they leave the school campus.
*
Yes
No
Required
My typed name represents my signature for consent.
*
Your answer
*
MM
/
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/
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Send me a copy of my responses.
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