Please enter your child's name and grade below, followed by individuals who have permission to pick them up from school.

My child/children may be released to persons listed below at the end of the school day or upon notification by a parent or guardian at an earlier time should that be necessary for illness, medical appointment or business after approval by the school administration.  I understand that my child/children will not be released to any person or organization unless listed on this form.  It is my responsibility to notify the school, in writing when possible or by phone in case of emergency, should someone not listed below be given authority to pick up my child/children.Please release my child/children to the following:

By entering your name below you are giving the above individuals permission to pick your child up from school.