Pick-Up & Carpool
Child's Name:
Pick-Up & Carpool
Parent/Guardian Name(s):
Authorized Pick-Up Persons
Please list any individuals,
other than parent(s) or legal guardians
, who are authorized to pick up your child from Trinity Preschool.
Authorized Pick-Up Persons
Rows
Name
Relationship to Child
Phone #
1
2
3
4
5
6
I understand that only a parent/legal guardian or the individuals listed above may pick up my child. If someone not listed will be picking up my child, I will notify Trinity Preschool in advance by phone, note, or REMIND message.
Carpool (Optional)
Not participating in a carpool.
Check the days your child will be participating in a carpool with the named carpool driver
Check the days your child will be participating in a carpool with the named carpool driver
Rows
Name of Carpool Driver:
Monday
Tuesday
Wednesday
Thursday
Friday
1
2
3
4
Parent Certification
I certify that the information provided on this form is complete and accurate. I have reviewed the acknowledgements and permissions above, understand they will remain in effect until I provide written notice of any changes, and agree to comply with Trinity Preschool's policies and procedures.
Parent/Guardian Signature:
Date:
-
Month
-
Day
Year
Date
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Submit
Should be Empty: