TAT Departure Authorization Form

Departure Authorization Form

This form may only be submitted by parents/guardians. This form will be submitted to Theatre Arts Training and you will be emailed a copy of your responses. You are welcome to update, change, or revoke your permission at any time and may do so by contacting the Theatre Arts Training Office at education@childrenstheatre.org or 612.872.5100.

Parent/Guardian Name*

First Last

Parent/Guardian Email*

Student Name*

First Last

Grade Level*

I grant my student permission to do the following:*

Leave at the end of the day with other specific adults
Sign themselves out at the end of the day

Please select all that apply

My student has permission to be signed out by and leave with the following adults:*

My student can sign themselves out at the end of the day and...*

Walk home
Bike home
Bus home
Drive home
Carpool home with a teen driver
Wait to be picked up unattended

Please select all that apply

My student has permission to carpool with the following students:*

I grant this permission for the following timeframe:*

Only one day
Only this week of camp
Remainder of Summer 2021 camp session

Date of permission*

Week of permission*

Please type your initials to signify your consent*

Name

This field is for validation purposes and should be left unchanged.

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2021 - 2022 Season

Departure Authorization Form