Student Pick-Up Form 1. 2. 3. 4. Student Pick

Student Pick-Up Form
(ALL GRADES)
Each family will receive a pick-up tag that needs to be placed in a visible spot on the passenger side of the vehicle for
pick-up. A student will not be allowed to get in a car if a pick-up tag is not displayed. If you do not have your tag
displayed, you will have to park and walk to the office to pick-up your student. Please bring your ID. You will receive a
slip to take to the multi-purpose room to pick-up your student. Please understand and cooperate fully with this procedure
for the sake of the security and safety of all Archway Glendale students.
Archway Glendale will provide 2 tags per family at no cost. If you need additional tags, the cost will be $1 for 2 tags.
Please stop by the school office to pay for and request additional tags.
Name of Contact Person for Family_________________________Cell Phone______________________
Student Name
Grade
1.
2.
3.
4.
Student Pick-Up Consent Form
(ALL GRADES)
Please write in a name AND a contact number for all authorized people allowed to pick-up your student(s). INCLUDE
relatives, siblings, and carpools. DO NOT INCLUDE parents or guardians listed on the application. Be sure they have
your pick-up tag in their vehicles, if applicable.
I hereby allow the above student(s) to be picked up by the following:
Name
Phone #
Glendale Prep Student
1.
2.
3.
4.
5.
YES
YES
YES
YES
YES
OR NO
OR NO
OR NO
OR NO
OR NO
If your Archway Glendale student is going to be picked-up by a Glendale Prep sibling, your Glendale Prep student
will need to arrive at the Glendale Prep gym via the outside entrance by 3:15pm at the latest to sign-out the sibling
and become responsible for the safety of your Archway Glendale student until you arrive for pick-up. We suggest
you do not arrive for pick-up before 3:20pm to avoid being sent around the queue until your students are ready.
Parent Signature______________________________________________ Date_____________
After School Dismissal Arrangements (Full-day students only)
On full school days my student(s) listed on the Student Pick-Up form will:
_____Be picked up at dismissal time in a vehicle
_____Be dismissed to walk home alone or be picked up by a parent walker on the curb (walkers will be released while the
class walks to dismissal through the main entrance)
_____Ride their bike home
_____Wait in the designated Glendale Prep sibling area for a Glendale Prep student (listed on page 1) to sign them out
_____Go to Athenaeum
On early release days my student(s) listed on the Student Pick-Up Form will:
_____Be picked up at dismissal time in a vehicle
_____Be dismissed to walk home alone or be picked up by a parent walker on the curb (walkers will be released while the
class walks to dismissal through the main entrance)
_____Ride their bike home
_____Go to Athenaeum
_____Participate in one of the Wednesday afternoon programs
On half school days my student(s) listed on the Student Pick-Up form will:
_____Be picked up at dismissal time in a vehicle
_____Be dismissed to walk home alone or be picked up by a parent walker on the curb (walkers will be released while the
class walks to dismissal through the main entrance)
_____Ride their bike home
_____Wait in the designated Glendale Prep sibling area for a Glendale Prep student (listed on page 1) to sign them out
_____Go to Athenaeum
Parent Authorization/Release: Archway Glendale has permission to follow the information on this form. If changes
need to be made I understand I will need to contact Archway Glendale and my student’s teacher immediately with the
update and re-submit the form with the updated information.
Parent Signature______________________________________________ Date_______________