PARENT'S CONTACT INFORMATION

1. Parent's First name

1. Parent's Last name

2. Parent's First name

2. Parent's Last name

Email

Phone

STUDENT'S INFORMATION

School Name

Harvard Elementary School

Child's First Name

Child's Last Name

Grade

Teacher Name

Any Allergy's

Choose an option

Extended Learning

Car Pick Up

STUDENT #2 INFORMATION

Child's First Name

Child's Last Name

Grade

Teacher Name

Any Allergy's

Choose an option

Extended Learning

Car Pick Up

STUDENT #3 INFORMATION

Child's First Name

Child's Last Name

Grade

Teacher Name

Any Allergy's

Choose an option

Extended Learning

Car Pick Up

AUTHORIZED STUDENT PICK UP

Be prepared to present your I.D. and school assigned car tag # for verification at the time of pick up.

For your child’s safety, they will only be released to the individuals listed below.

1. Authorized Parent Pick-up Name

1. Authorized Parent Pick-up Contact #

2. Authorized Parent Pick-up Name

2. Authorized Parent Pick-up Contact #

3. Authorized Parent Pick-up Name

3. Authorized Parent Pick-up Contact #

INTERESTED AND WOULD LIKE MORE DETAILS?

ANY QUESTIONS

Any Questions or Comments?

Residencia

PARENT'S CONTACT INFORMATION

STUDENT'S INFORMATION

STUDENT #2 INFORMATION

STUDENT #3 INFORMATION

AUTHORIZED STUDENT PICK UP

Be prepared to present your I.D. and school assigned car tag # for verification at the time of pick up.

INTERESTED AND WOULD LIKE MORE DETAILS?

ANY QUESTIONS