24/25 Parent Pick Up Form
Please complete the following form if your student will be a Parent Pick Up during the 24/25 School Year. Once Form is completed you will receive a Parent Pick Up Number at Open House or the 1st Day of School as you pick up your student.
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Email *
Student Name (Last, First) *
Example:  Gator, Joe
Grade *
Example:  1st/Paige
Teacher *
Example:  Paige
Additional Siblings (Name/Grade/Teacher) *
Example:  Gator, Jane 5th/Shipley; Gator, Joshua 8th/Jones
Parent/Guardian Name *
Example:  Gator, Jill & John
Parent/Guardian Phone (Main) *
Example:  757-222-2222
Parent/Guardian Phone (Alternate)
Example:  757-222-2222
List ALL Authorized Pick-Ups & Phone Numbers *
Tiger, Bob 757-111-1111; Doe, Jane 333-444-5555          
A copy of your responses will be emailed to the address you provided.
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