FBP Alternate Pick-Up Authorization Form
Please submit this form when requesting an alternate pick-up.  In addition, you MUST notify the teacher and office by email.  An ID from the pick-up person will be required as proof of identity.  
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Email *
Today's Date *
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/
DD
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YYYY
Child's Name to be picked up *
Child's Teacher's Name *
Full Name of Pick Up Person *
Relationship to Child *
Date to be picked up *
MM
/
DD
/
YYYY
Additional dates to be picked up
Parent Full Name *
Submit
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