Student Pick-Up Form and After School Dismissal Arrangements

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Each family will receive 2 pick-up tags. PLEASE MAKE SURE THE TAG IS IN A VISIBLE LOCATION DURING PICKUP. A student will not be allowed to get in a vehicle if a current 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.

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): *

Student Last Name: *

Grade: *

Half Day Kindergarten

Full Day Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

Required

FROM EACH SECTION BELOW, PLEASE CHOOSE THE OPTION YOU WILL USE MOST OFTEN.

PLEASE READ ALL OPTIONS BEFORE SELECTING - On full school days my student will: *

Go to Athenaeum. (Student must be registered in order to attend, see Archway Glendale website for more information)

Be picked up at dismissal time in a vehicle. (This is the only option for half-day kindergarten students.)

Be picked up at dismissal time on foot at the main student entrance (pick-up tag required).

Be picked up by a Glendale Prep Driver. Driver must have a valid Glendale Prep parking permit.

Be dismissed to leave campus alone (walking, biking, etc.). Students will not be allowed to remain on campus. ALL STUDENT WALKERS WILL BE DISMISSED AT 2:55 PM.

Required

PLEASE READ ALL OPTIONS BEFORE SELECTING - On half days my student will: *

Go to Athenaeum. (Student must be registered in order to attend, see Archway Glendale website for more information)

Be picked up at dismissal time in a vehicle. (This is the only option for half-day kindergarten students.)

Be picked up at dismissal time on foot at the main student entrance (pick-up tag required).

Be dismissed to leave campus alone (walking, biking, etc.). Students will not be allowed to remain on campus. ALL STUDENT WALKERS WILL BE DISMISSED AT 1:55 PM.

Go to the Wednesday After-School Sports Program (pick up time is 2:15)

Required

If picked up by Glendale Prep Driver, enter driver's name and grade:

Parent Authorization/Release: *

I give Archway Glendale permission to follow the information on this form. If changes need to be made I understand I will need to immediately contact the Archway Glendale office and my student’s teacher with the update and re-submit the form with the updated information.

Required

Form filled out by (Parent/Guardian): *

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.

*Only Glendale Prep students with a valid Glendale Prep parking pass are allowed to pick up Archway Glendale students as Glendale Prep drivers.

1. Name and Phone

2. Name and Phone

3. Name and Phone

4. Name and Phone

5. Name and Phone

Submit

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