Add information below (i.e., emergency contacts, referral codes, medication, health issues, AUTHORIZED PICK UP PERSON). *
Your answer
By checking box you agree the information you have provided is true and that you are the legal parent or guardian authorized to add this information. Any person authorized to pick up your child must show valid ID (driver's license, Military ID, state ID). The name must match this form. *
Required
A copy of your responses will be emailed to the address you provided.