Child Release Form

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Child Release Form

Dear Parents,

Keeping your children safe is our number one priority. Therefore we are updating our records to include any persons whom you wish to authorize to collect your children from VHA. The names you include in this form will be the only people who Vancouver Hebrew Academy will be able to release your children to. This form will remain open so please complete the form any time a new person will be picking up your children.

Your Family Name *

These are the people whom I authorize to pick up my child(ren). Please include first and last name and phone number for every entry. *

Please indicate if you wish this person be added to your permanent list or if this is a one-off pick-up? *

Permanent

One-off

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