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Release form for PreK & K & G1 Parents
Please fill out this form if your child is to be released to another parent or caregiver. This applies to any school day including class trips.
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* Indicates required question
Email
*
Your email
Child's Name:
*
Your answer
Release from
*
Homeroom class
Bukatsu/Lesson
Childcare
Grade:
*
Choose
Pre-Kindergarten
Kindergarten
Grade 1
I give my child permission to be released to:
*
name of person picking him/her up
Your answer
Date:
*
MM
/
DD
/
YYYY
Time:
*
Time
:
AM
PM
Emergecy Contact Name:
*
Your answer
Emergency Contact Telephone Number:
*
Your answer
A copy of your responses will be emailed to the address you provided.
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