Non-Guardian Pick-Up – Pass

Purpose: Authorization for a non-guardian to pick up a Cadet for P-RAP Pass.
Parent/Guardian Name*
First Last
Parent/Guardian Email*
Parent/Guardian Phone*
Cadet Name*
First Last
Name of Authorized Pick-Up Person*
First Last
Email of Authorized Pick-Up Person*
Phone of Authorized Pick-Up Person*
I authorize the above-named individual to pick up the above-named Cadet for the purpose of P-RAP Pass.
Parent/Legal Guardian Signature*
Date*

MM slash DD slash YYYY

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