Common use of Authorized Pick Up Clause in Contracts

Authorized Pick Up. Please list any individual who is authorized to pick up your child, including yourself. Each authorized person must be at least 16 years of age. The above-named child will not be permitted to leave the program with anyone who is not listed below. Authorized individuals must pick up the child in person and may be requested to show identification to program staff. Children will not be released to persons who fail to provide acceptable identification upon request. I authorize the following responsible persons to pick up my child from the program (attach additional pages as needed): Authorized Person Phone Number Relationship to Child Please note that children must be picked up by designated times. If an authorized adult is unable to be reached, program members will contact the local police department as a last resort to take your child home. If you are not at home, your child may be released to the Division of Family and Children Services.

Appears in 8 contracts

Samples: Participation Agreement and Waiver Form, Participation Agreement and Waiver Form, Participation Agreement and Waiver Form

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Authorized Pick Up. Please list any individual who is authorized to pick up your child, including yourself. Each authorized person must be at least 16 years of age. The above-named child will not be permitted to leave the program with anyone who is not listed below. Authorized individuals must pick up the child in person and may be requested to show identification to program staff. Children will not be released to persons who fail to provide acceptable identification upon request. I authorize the following responsible persons to pick up my child from the program (attach additional pages as needed): Authorized Person Phone Number Relationship to Child Please note that children must be picked up by designated times. If an authorized adult is unable to be reached, program members will contact the local police department as a last resort to take your child home. If you are not at home, your child may will be released to the Division of Family and Children Services.

Appears in 1 contract

Samples: Assumption of Risks, Informed Consent, Waiver and Hold Harmless Agreement

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Authorized Pick Up. Please list any individual who is authorized to pick up your child, including yourself. Each authorized person must be at least 16 years of age. The above-named child will not be permitted to leave the program program/activity with anyone who is not listed below. Authorized individuals must pick up the child in person and may be requested to show identification to program program/activity staff. Children will not be released to persons who fail to provide acceptable identification upon request. I authorize the following responsible persons to pick up my child from the program program/activity (attach additional pages as needed): Authorized Person Phone Number Relationship to Child Please note that children must be picked up by designated times. If an authorized adult is unable to be reached, program program/activity members will contact the local police department as a last resort to take your child home. If you are not at home, your child may will be released to the Division of Family and Children Services.

Appears in 1 contract

Samples: Participation Agreement and Waiver Form

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