NY Society of Play: Walking Pickup Authorization Form
This form is REQUIRED for any families who opt into our walking pickup. Please fill out one form PER child.

If one child is participating in multiple activities, you only need to fill out one form.

If you have any questions, please reach out to us at info@nyplays.org or 347-292-9549.
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Email *
Child Name *
Child School *
Child Grade *
Child Teacher Name *
Child Class Number (if Applicable)
Afterschool Location *
Date(s) of Afterschool *
Required
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