FCA 2024-2025 Authorized Pick Up
This form will be used to verify people who are approved to pick up your student from school. If someone isn't on this list, we will need written verification to allow students to leave school or a bus stop with them. This form should include parents and guardians.
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Email *
Student First Name *
Student Last Name *
Authorized Person 1 First and Last Name *
Authorized Person 1 Relationship to Student *
Authorized Person 2 First and Last Name
Authorized Person 2 Relationship to Student
Authorized Person 3 First and Last Name
Authorized Person 3 Relationship to Student
Authorized Person 4 First and Last Name
Authorized Person 4 Relationship to Student
Authorized Person 5 First and Last Name
Authorized Person 5 Relationship to Student
Authorized Person 6 First and Last Name
Authorized Person 6 Relationship to Student
A copy of your responses will be emailed to the address you provided.
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