Authorized Pick Up - Cornerstone Christian Education

Authorized Pick-Up

Your child’s safety is very important to us which is why we ask all parents to please let us know who has permission to pick up your child from school. Please note that PHOTO ID may be required if staff is not familiar with those listed for pick up.

Family Information

Name of Student(Required)

Parents' Names(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City Province Postal Code

Parents' Phone Numbers(Required)

Authorized for Pickup

Name of Person Authorized for Pickup(Required)

Relationship to Student(Required)

Name of 2nd Person Authorized for Pickup

Relationship to Student

Name of 3rd Person Authorized for Pickup

Relationship to Student

Signature

Date

This field is for validation purposes and should be left unchanged.