Language
English (US)
Spanish (Latin America)
Circle of Friends
Pickup and Dropoff Form
Youth's Name
First Name
Last Name
How will your youth get to programming?
Someone will drop them off
They will get there on their own (walk, bike, etc.)
Other
If someone other than parent/guardian/mentor is dropping off, list their name and phone number
How will your youth leave programming? (If after 7pm, youth MUST be picked up)
Someone will pick them up
They will leave on their own (walk, bike, etc.)
Other
If someone other than parent/guardian/mentor is picking up, list their name and phone number
Please add any additional information for youth pick up and drop off
Date
-
Month
-
Day
Year
Date
By signing this form, I give Circle of Friends permission to allow my youth to arrive and leave in the manner expressed.
Submit
Should be Empty: