Just For Kids Authorized Pick Up Change Form
NOTE: This form must be completed by the same parent(s) or legal guardian(s) who signed the original Enrollment Contract. If both parents signed the Enrollment Contract they must each complete a copy of this form using their own PIN. This change will remain in effect until the end of the current Enrollment Contract unless the parent completes a new Authorized Pick Up Change Form.
Date of Change *
Your answer
Just For Kids site child attends: *
Required
Child's Name: *
Your answer
Parent's Name: *
Your answer
ADD the following person to the list of persons authorized to pick up the above named child:
First and Last Name
Please add only one person at a time
Your answer
Relationship to Child:
Home Phone of authorized pick up person
Your answer
Work Phone of authorized pick up person
Your answer
Cell Phone of authorized pick up person
Your answer
Is this person currently registered as an authorized pick up person on another account at any Just For Kids location? *
DELETE the following person from the list of persons authorized to pick up the above named child:
Name of authorized pick up person to delete:
Your answer
Email address to send response receipt to:
Your answer
Parent PIN *
Your answer
Submit
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This form was created inside of Boise Independent School District.