000 한국학교

000Korean School

www.00koreanschool.org

Logo                                                          00koreanschool@gmail.com

Child Pick-up Authorization Form

학생 이름(Child Name)	부모 이름(Parent Name)

I authorize the following individual(s) to pick up my child from The 000 Korean school for instances where parents are not available.

I understand that identification may be required in order for child’s release to individual other than the parents.

Parent Signature:                             Date:

이름(Name)	관계(Relationship to child)
주소(Address)	전화번호(Phone No.)