After School Enrichment Identification and Emergency Form

Please complete the form below. Required fields marked with an asterisk *

After School Enrichment Identification and Emergency Form

  • Identification and Emergency Information
  • Student Information
  • Date Format: MM slash DD slash YYYY
  • Parent/Guardian #1 Information
  • Parent/Guardian #2 Information
  • Children will not be allowed to leave with any other person without authorization from main parent/guardian. The person picking up the child with have to show proper identification. If there are added persons who is not on the orignal form given - the parent/guardian will recieve a phone call confirming the change/add.