Add/Change of Authorized Individuals

If you need to make changes to your child's pickup/dropoff list, please complete this form. It will be forwarded to the necessary record-keeping staff.

*This form is accessible via mobile devices. However, desktop devices are best for optimal functionality. An inoperative “submit” button indicates that some form fields are missing or typed incorrectly. Desktop devices will describe any necessary corrections that hinder submissions, but mobile forms do not have this function.
I HEREBY AUTHORIZE THE ADDITION OF THE FOLLOWING INDIVIDUAL(S) TO PICK UP/DROP OFF MY CHILD IN MY ABSENCE:
THE FOLLOWING INDIVIDUAL(S) SHOULD BE REMOVED FROM MY CHILD’S AUTHORIZED PICK UP/ DROP OFF LIST:
I UNDERSTAND THE FOLLOWING: