Armory Youth Project Pick-Up Authorization Form 2023

Child's Name

*

The following individuals have permission to pick up my child (ID may be required):

Person #1

Name

*

Relationship to child

*

Phone

*

Address

*

Person #2

Name

Relationship to child

Phone

Address

Person #3

Name

Relationship to child

Phone

Address

Parent/Guardian Signature

*

Phone

*

Date

*

Description

Please fill out this form and click submit to allow someone other than a Parent/Guardian to pick up your child from the Armory.

This form will be good until December 31, 2023.