Student Pick-Up Release Form
Special instructions/restrictions concerning dismissal
and pick-up procedure for your child:
The first time your child is picked up by a new person, we will check the Driver's License in order to verify the identity. If the Adult is included in the list below, your child will be released to the Adult. If the Adult is not listed below, then your child will NOT be released to the Adult. If you know ahead of time that an Adult, who is not listed below, will be picking up your child, you MUST provide a written note to your child's teacher. If this is a "last minute" change, you MUST call the office and speak to the Director personally. Any Adult not listed, will be asked to provide their Drivers License to be copied, and sign a form which states that your child is being released to him/her, once we verify permission from the parents.
Please read the extended policy in your child’s handbook which you will receive on Parent Night.
For the safety of ALL students we will strictly follow this policy.
Please list 2 parents/guardians and individuals who have permission to pick up your child from school.