Student Pick-Up Form and After School Dismissal Arrangements
Each family will receive a pick-up tag. Please hang the tag on your rear-view mirror during pickup. A student will not be allowed to get in a car if a pick-up tag is not displayed. If you do not have your tag displayed, you will have to park and walk to the office. Please bring your ID. You will receive a slip to take to the main student entrance to pick up your student. Please understand and cooperate fully with this procedure for the sake of the security and safety of all Archway Glendale students.

Archway Glendale will provide 2 tags per family at no cost. If you need additional tags, the cost will be $2 for 2 tags. Please go to the payment portal on the Archway Glendale website or stop by the school office to request and pay for additional tags.

Student First Name (one form per student, please): *
Your answer
Student Last Name: *
Your answer
Grade: *
PLEASE ONLY CHOOSE ONE OPTION FROM EACH SECTION
On full school days my student will: *
Required
On early release days my student will: *
Required
On half school days my student will: *
Required
If picked up by Glendale Prep Driver, enter driver's name and grade:
Your answer
Parent Authorization/Release:
*
Required
Form filled out by (Parent/Guardian): *
Your answer
Authorized adults allowed to pick up
Please write names AND contact numbers for any additional authorized adults allowed to pick up your student in addition to parents, guardians or emergency contacts listed on the application. Be sure your pick-up tag is displayed in their vehicles, if applicable.

*Glendale Prep students are not allowed to pick up Archway Glendale students.

1. Name and Phone
Your answer
2. Name and Phone
Your answer
3. Name and Phone
Your answer
4. Name and Phone
Your answer
5. Name and Phone
Your answer
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