Early Childhood Education/Preschool

Richmond Community Schools

Early Childhood Education/Preschool

Pick Up Authorization

To ensure the safety of our children, preschool students who ride buses will not be released from the bus after school without a specified adult present to pick them up. If a designated adult is not present to get the child off the bus, the child will be returned to their school. Please list below the adults who are approved to pick up your child.

Child’s Name: Bus Number:

Parent/Guardian Name:

Address:

Phone Number: Emergency Phone Number:

Responsible Adult Relationship to Child

Your signature below grants the responsible parties listed above authority to receive your child from the bus. Please be aware that the bus drive may request picture identification before releasing your child to an unfamiliar person. Please notify the school immediately if there are changes.

Parent/Guardian Signature Date

Principal Signature Date