Emergency and Pick-Up Authorization



Please list three (3) people we should contact if we are unable to reach the parent(s) or guardian in the event of illness or other emergency. List all persons WHO HAVE YOUR PERMISSION to pick up your child from the center. Anyone not known by the staff person will be required to furnish a picture ID.




Is anyone prohibited by law from picking up your child?

Legal documentation must be furnished. Have you given us a copy?