Our volunteers are invaluable to us

Providing God’s gifts the opportunity to flourish

List ALL people who may have occasion to pick up your child (in the event of an emergency and you are unable to do so)

Must be completed by NON-FAMILY members

PLEASE PRINT AS A TWO-SIDED FORM

Must be completed by both parent and physician

Must be completed by both parent and physician

Must be completed by both physician and parent