SPES Kids Club Pick Up Authorization
Please complete this form AFTER registration with a vendor into a Winter 2018 SPES Kids Club Class.
Please fill out a form for EACH child .

This form is required for all students registered for Short Pump Elementary School's Kids Club (an optional after school enrichment program in Winter of 2018). Please fill out the following information.
For pick up authorization - ONLY those listed on this form will be allowed to pick up your child. Please be sure their name matches their driver's license.

Email address *
Child's Name *
Your answer
Child's Grade *
Child's Teacher *
Your answer
Kids Club Class Registered For
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