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Non-Parent Pickup Authorization

You can request one or more days on this form, as needed.

By sending this request, the parent acknowledges their understanding that they are required to communicate to the non-parent that the non-parent that is picking up must ring the door bell, introduce themselves to the person in the office, indicate whom they are picking up, present their ID, and sign this authorization.

Thanks for submitting. Remind your Non-Parent to ring the doorbell!

1302 Creek Trail Drive                               225 Oscar Drive

Jefferson City, MO 65109                        Jefferson City, MO 65101

573-659-7550                                            573-635-4663

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