Nanny Fraser

Home Daycare

Contents


*      Home

*      Resume

*      Photos

*      Parent, ECE and Caregiver Resources

*      Learn About Cleaning Chemicals

*      Potentially Hazardous Materials

*      Reader Submissions of Additional Resources

*      Childcare Classifieds

*      FAQ

Parent Handbook

*      Introduction

*      Philosophy and Mission

*      Behaviour Management

*      Health and Safety

*      Pick-up and Drop-off

*      Schedule and Program Plan

*      Meal Plan

*      Forms and Contracts

*      Parent Information

*      Child Information

*      Pick-up Authorization

*      Do Not Authorize for

Pick-up

*      Parent Agreement Contract

*      Download PDF Version

Additional Info

*      Webrings and Promotional Tools

 

C. Fraser © 2008, Fraser Service Group. All Rights Reserved.

 

 

 

Section 11 (a)

Child Pick-up Authorization Form

If you have trouble printing this document under the current format, you can download the PDF version of the handbook here.

 

Child’s full name :__________________________

 

Name:

Primary #:

Secondary #:

 

 

 

Relation to your child or family:

 

Name:

Primary #:

Secondary #:

 

 

 

Relation to your child or family:

 

Name:

Primary #:

Secondary #:

 

 

 

Relation to your child or family:

 

Name:

Primary #:

Secondary #:

 

 

 

Relation to your child or family:

 

Name:

Primary #:

Secondary #:

 

 

 

Relation to your child or family:

 

Name:

Primary #:

Secondary #:

 

 

 

Relation to your child or family:

 

Name:

Primary #:

Secondary #:

 

 

 

Relation to your child or family:

 

Name:

Primary #:

Secondary #:

 

 

 

Relation to your child or family:

 

Name:

Primary #:

Secondary #:

 

 

 

Relation to your child or family:

(Additional forms can be provided if needed)

 

 

I, ____________________________________ hereby authorize the individuals listed above to pick up my child from daycare in my absence.

 

 

 

Signature:________________________  Date:______________________