Pick Up Authorization/Emergency Contact Form 2015... - brompton kusd-2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the full name and grade of your student for the 2015-2016 school year in the designated fields.
  3. List all authorized individuals who can pick up your student. For each person, provide their name, address, city, state, zip code, home phone, work phone, and cell phone.
  4. Indicate whether each authorized person is a parent/legal guardian and if they are an emergency contact by selecting 'Yes' or 'No' in the respective fields.
  5. Once all information is filled out, ensure to sign and date the form on the back page as required.

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