top of page
ABOUT US
RECOGNITION & AWARDS
BLOG
CHILD SPONSORSHIP
CHILD SPONSORSHIP FORM
MEET THE KIDS!
COUNSELING
GET INVOLVED
BECOME A FRIEND OF GRACE
GET OUR NEWSLETTER!
CONTACT US
CORPORATE SPONSORS
VOLUNTEER
GRACE MERCHANDISE
More
Use tab to navigate through the menu items.
PICK UP AUTHORIZATION
Pick up is at 5pm. Please fill out one form for each child.
Student's Full Name (first & last)
Parent/Guardian's Full Name (first & last)
Parent/Guardian Email
Parent/Guardian Phone
List ALL individuals, including primary parents or guardians, who will have permission to pick your child up from the HELP: GRACE - Millen Afterschool Program. Students will not be allowed to leave with anyone not on this list unless there is written consent from the primary parent or guardian of the child.
Please choose one of the following options:
Choose an option
If you have chosen the bus option above, please give us the physical address your child will need to be dropped off at
Submit
bottom of page
.png)