* Required
Custodial parent / guardians will be notified first in an emergency or for a discipline issue. This individual has pick up authority by default. Please list an alternate choice if custodial parent/guardian cannot be reached.
If documentation is required to be on file to prohibit certain individuals from picking up the child(ren) your are registering it must be updated each year by the parent. An option at the end of the questionnaire is available for uploading.
If you prefer, please email to ProjectShareInfo@shastacoe.org. Please include the child's name and site within the body of the email.
Please provide an email address where we can send a link to your current form.