NS Pickup Authorization Form Child's Name(Required) First Last Class(Required) The following individuals are authorized to pick up my child from St. Paul's Nursery School: (must list at least three individuals)1 - First Guardian(Required) Phone(Required)Address(Required) 2 - Second Guardian(Required) Phone(Required)Address(Required) 3 - Name(Required) Phone(Required)Address(Required) 4 - Name PhoneAddress 5 - Name PhoneAddress Parent Signature(Required) Sept. Review Date(Required) MM slash DD slash YYYY Feb. Review Date MM slash DD slash YYYY Guardian Email(Required) Δ
