NCS Elementary Release Form

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Please fill out one form for each Kindergarten through 4th grade student you have enrolled at Nenana City School. Thank you.

Email *

Record my email address with my response

Student's Name (K-4th Grade): *

Parent/Gardian Name: *

Please rank the following method of release in order of greatest preference: *

Most preferred

Second option

Least preferred

Attend after school

Authorized Person Pickup

Walk home themselves

I agree that in consideration of Nenana City School District’s willingness to allow my student to leave campus after school without adult supervision, I will not attempt to hold Nenana Student name City School District, its School Board, administration, or employees liable for any injury, death, or loss to person or property sustained by your student during the student's travel home. *

I agree

I disagree. Do not send my child home without adult supervision or contacting me.

Required

1) I authorize the following person to pick up my child after school (please include name and phone number):

2) I authorize the following person to pick up my child after school (please include name and phone number):

3) I authorize the following person to pick up my child after school (please include name and phone number):

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