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Pick Up Authorization

Please complete the form below. Required fields marked with an asterisk *

Jewish Academy of Orlando Pick Up Authorization

Child 1 name:

Answer Required

Child 1 grade:

Answer Required

Child 2 name:

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Child 2 grade

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Child 3 name:

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Child 3 grade:

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The following, including the parents, have permission to pick up my child/children:

Please include name, relationship and phone number

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The following, including the parents, have permission to pick up my child/children:

Please include name, relationship and phone number

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Submitted by*

Please enter first and last name

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Confirmation Email

Confirmation Email *

Enter your email address here if you'd like to receive a confirmation upon submitting the form.

Email Required