Authorised Collection Person Form

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Authorised Collection Person Form

Please inform us of anyone who is able to collect your child at any time you give permission by filling out a Child Collection Form. We will add this information to your child's records.

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* Indicates required question

Email *

Your email

Child's name *

Your answer

Name of person to be authorised *

Your answer

Phone number *

Your answer

I give authorisation for the named person to collect my child when I give permission *

Confirm

Required

A copy of your responses will be emailed to the address you provided.

Submit

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