Fetcher's ID Request Form
This form authorizes the following persons to fetch the child in school. Parents should be part of this fetcher's information if regularly picking up the child. The data gathered in this form will be confidential in compliance with Data Privacy Act of 2012. All information will used only for school purposes.
Child's Name (last name,first name,middle name)
*
Grade Level
*
Please Select
Toddler
Jr Nursery
Sr Nursery
Pre-Kinder
Kinder
Early Intervention
Childcare
Academic Year
*
Digital Photo Requirements:
must have been taken in the last month
clear and in focus
contain no other objects or people
be taken against a plain light-coloured background
Fetcher's name #1 ( last name, first name, middle initial)
*
Please Take Photo
or Upload Photo
Relationship to child
*
Fetcher's name #2 ( last name, first name, middle initial)
*
Please Take Photo
or Upload Photo
Relationship to child
*
Signature
*
Date
*
-
Month
-
Day
Year
Date
Name
First Name
Last Name
Email
*
example@example.com
Relationship to child
*
Save
Submit
Submit
Should be Empty: