We're taking extra measures to ensure your children are safe.
Child will be released only to the parents/guardians listed above. The child can also be released to the following individuals, as authorized by the person who signs this application. In the event of an emergency, if the parents/guardians cannot be reached, the facility has permission to contact the following individuals.
I, as the parent/guardian, authorize the center to obtain medical attention for my child in an emergency.
Thank you for applying.