Latchkey Information Form

Latchkey Information Form

St. John the Baptist Catholic School
Parent Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Authorized to pick up your child(ren)

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to child
Authorized to pick up your child(ren)

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to child
Authorized to pick up your child(ren)

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to child
*If someone other than the above people will be picking up your child/children, you must call school to inform us of this change.
Parent Signature
Date

MonthDayYear
Date
Should be Empty: