Nursery School Pick-Up Release Form Information About the ChildChild's First Name *Child's Middle NameChild's Last Name *Parent(s)/Guardian(s) InformationAdd additional parents/guardians by clicking 'Add Parent/Guardian' below.Parent/Guardian's First Name *Parent/Guardian's Middle NameParent/Guardian's Last Name *Relation *Phone # *Email Address *These additional people may pick-up my child.Parent/Guardian's First Name *Parent/Guardian's Middle NameParent/Guardian's Last Name *Relation *Phone # *Email AddressConsent *Listed below are the names of the people, INCLUDING my child’s parent(s)/guardian(s), who have permission to take my child home from preschool. Zion Mennonite Nursery School may only release my child to these people unless previous notification is given, written or verbal.Visual Recognition *I understand that identification must be shown until we are familiar with the driver.Signature *Use your mouse, trackpad or finger to sign here.Your browser does not support e-Signature field.Submit
