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
Just For Kids site child attends:
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
Relationship to Child:
Home Phone of authorized pick up person
Work Phone of authorized pick up person
Cell Phone of authorized pick up person
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:
Email address to send response receipt to:
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This form was created inside of Boise Independent School District.
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