Approved Pick Up Persons

Pick Up Authorizations

Your child will only be released to the parents or to those who you have provided authorization. This form WILL REPLACE any previous pick up authorizations you have listed for the children who you list on this form and needs to be completed EACH SCHOOL YEAR.
Child(ren)'s Names*
Parents DO NOT need to list themselves as approved pick up persons. If a parent is not permitted to pick up the child named above, custody documents must be on file at the school office.

For any approved pick up persons who are not RBCS parents, a phone number must be listed. They should also be prepared to show a photo ID and have it copied or scanned via tablet before the child will be released.

All pick up persons will receive an invite to join brightwheel to check your child in/out. Email addresses are not required but are sometimes helpful in setting up the app. Pick up persons cannot see your child's feed, messages or billing information. They can only check the child in/out.

You may choose to list an Approved Pick Up Person as a Family Member so they can see your child's feed.

Learn more about BW Contact Types
Approved Pick up Person 1*

First NameLast Name
Phone 1*

Area CodePhone Number
Email 1
example@example.com
Family?

List Approved Pick up Person 1 as a Family Member. (See above link for BW Contact Types)
Approved Pick up Person 2

First NameLast Name
Phone 2

Area CodePhone Number
Email 2
example@example.com
Family?

List Approved Pick up Person 2 as Family.
Approved Pick up Person 3

First NameLast Name
Phone 3

Area CodePhone Number
Email 3
example@example.com
Family?

List Approved Pick up Person 3 as Family.
Approved Pick up Person 4

First NameLast Name
Phone 4

Area CodePhone Number
Email 4
example@example.com
Family?

List Approved Pick up Person 4 as Family.
Approved Pick up Person 5

First NameLast Name
Phone 5

Area CodePhone Number
Email 5
example@example.com
Family?

List Approved Pick up Person 5 as Family.
Name of Parent Completing Authorization*

First NameLast Name
I authorize Riverbend Christian School to release my child to those approved persons listed above.*

Clear
Date*

MonthDayYear
Date
Parent's Email*
example@example.com
Should be Empty:

Pick Up Authorizations