DDES - Pick-Up Authorization Form 24 -25

Downtown Denver Expeditionary School
Pick-up Authorization Form
Student’s Name*

First NameLast Name
Crew/Grade:*
In the event that a parent/legal guardian cannot pick up their child, please notify the school office via email or writing. When that is not possible, phone notification must be given to the school office at least one hour prior to pick up. If a child is to be picked up prior to the end of the school day (doctor appointment, etc.), the parent/legal guardian must give notification, including who will pick your child up, when, and why. Please email frontoffice@ddeschool.org or call the front office at 720.424.2350. The authorized individual must check in with the school office with proper identification.

Note: If the school office does not receive notification and/or the authorized agent does not have identification, the child will not be released.

Please list those individuals authorized to pick up your child (This list will be kept on file but is not a substitute for proper notification and identification is still required.):
1. Name

First NameLast Name
1. Phone Number

Area CodePhone Number
2. Name

First NameLast Name
2. Phone Number

Area CodePhone Number
3. Name

First NameLast Name
3. Phone Number

Area CodePhone Number
4. Name

First NameLast Name
4. Phone Number

Area CodePhone Number
5. Name

First NameLast Name
5. Phone Number

Area CodePhone Number
For additional contacts please list name and phone numbers.
Parent / Guardian Name*

First NameLast Name
Parent/Guardian Signature(s):*
Date*

MonthDayYear
Should be Empty:

Downtown Denver Expeditionary School

Pick-up Authorization Form