SOCIAL CIRCLE CHRISTIAN SCHOOL



SOCIAL CIRCLE CHRISTIAN SCHOOL

2021-2022 PICK-UP LIST

For the safety of your child please complete the list below of who “may” and/or “may not” pick up your child from school. Please return this form to the office by the first day of school.

Student Name: _____________________________ Grade: _________________

Please list below anyone that may pick up your child from school. Please include driver’s license number.

Name Driver’s License Number

1. _________________________ _______________________________

2. _________________________ _______________________________

3.__________________________ _______________________________

4. __________________________ _______________________________

5. __________________________ _______________________________

Please list below anyone that may not pick up your child from school.

1. _____________________

2. _____________________

3. ______________________

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