School Information

Name of School

Grade

Child will arrive to Frolic & Lark by

School Bus

Parent Drop-off

Other

If your child normally rides the bus to Frolic & Lark but will not be attending on a scheduled day, please notify us before school dismissal.

Typical attendance schedule or notes (ie; will leave at 4pm on Tuesdays or Grandma will pick up on Wednesdays)

Pick-Up Information

Child may be picked up by

Parent/Guardian

Authorized Pick-Up

*Children will only be released to a parent, legal guardian, or an authorized pick-up listed. Anyone not personally known to staff will be asked to present a valid photo ID before a child is released.

Authorized Adult Name (First,Last)

Phone

Authorized Adult Name (First,Last)

Phone

Snack Information

A simple afternoon snack will be provided each day.

My child has no food allergies, sensitivities, or dietary restrictions.

My child has food allergies, sensitivities, and/or dietary restrictions.

All families must complete the Allergy Information Form, even if your child does not have any known allergies. If your child has no known allergies, simply select ‘No’ where indicated on the form.

Restroom Information

My Child

Uses the restroom independently

May need occasional reminders

May need staff assistance. Please explain:

Additional Information

Is there anything you'd like us to know that will help your child have a successful experience while in our care?

I certify that the information provided on this form is complete and accurate. I understand the procedures and expectations specific to the Frolic & Lark After-School Care program and will notify Frolic & Lark of any changes.

Parent/Guardian Signature

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