ABRA Program Arrival/Departure Slip

ABRA Program Arrival/Departure Slip

For children aged 9+. Please note that signing this form for an older childer does not grant them permission to take a younger sibling home.
By signing this slip, I, the parent/guardian of the child named below, am giving them permission to sign in and/or out on their own. I acknowledge that by signing this slip, I waive all responsibility from the Auburn Bay Residents Association once my child has departed/prior to their arrival on the Auburn House premises.
Child's Name*

First NameLast Name
Child's Age*
Please choose from drop down menu below:*
Program Name*
Parent/guardian's Name*

First NameLast Name
Signature*

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Date*

MonthDayYear
Date
Hour MinutesAM/PM Option
Should be Empty: