FORM 3: Alternate Pick-up Person

This form is OPTIONAL. It grants permission for other adults or driving teens to pick up your student from Primary Players events.

It is Primary Player’s intention to keep our students safe. Therefore, we require you (or someone you designate) to use the GroupMe app to sign your cast member both in and out. We will not allow your child to leave with anyone other than their Parents/Guardians or those listed on this form. We will not allow your child to leave the building (if someone is waiting for them in the parking lot) until they have been signed out properly.
Student Name*
First Last
Authorized Person Name
First Last
Phone Number
Relationship
Authorized Person #1 Name
First Last
Phone Number
Relationship
Authorized Person #2 Name
First Last
Phone Number
Relationship
I hereby authorize the above named individuals to pick up my student from Primary Players activities.
- I Agree
Parent Name*

By typing your name here, you are acknowledging responsibility and permission for the above persos to pick up your child from rehearsal.
Comments
This field is for validation purposes and should be left unchanged.