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Student Pickup
Please fill out this form in order for us to know who will be authorized to pick up your child at dismissal from school.
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Email
*
Your email
Parent First Name and Last Name
*
Your answer
Student First Name and Last Name
Your answer
Best Contact Number
*
Your answer
Grade
*
3K
PreK
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Please provide the names of ALL adults that have permission to pick up your child from school. Please include Mother and Father if applies.
Name #1
*
Your answer
Name #2
*
Your answer
Name #3
Your answer
Name #4
Your answer
Name #5
Your answer
Name #6
Your answer
A copy of your responses will be emailed to the address you provided.
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