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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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* Indicates required question
Email
*
Your email
Today's Date
*
MM
/
DD
/
YYYY
Child's Name to be picked up
*
Your answer
Child's Teacher's Name
*
Your answer
Full Name of Pick Up Person
*
Your answer
Date to be picked up
*
MM
/
DD
/
YYYY
Additional dates to be picked up
Your answer
Parent Full Name
*
Your answer
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