Release Authorization/Emergency Contact Form
Dear Parent/Guardian,

Please use this form to list personnel, other than the listed parent or guardian, that will have authorization to be contacted in the case of an emergency.The person or persons listed will also have authorization to pick your student up in the event that you are unable to. LEAP will make every attempt to contact the listed parent or guardian prior to utilizing the named person(s) on this form. Any person picking up a student will be required to show identification. No student will be released until proper identfication is recieved. LEAP requires at least one emergency contact person to be listed in every student's records.

By signing this form you hereby authorize: In the case of an accident or serious injury I hereby authorize the listed below to pick my student(s) up from LEAP ACADEMY. I also authorize the listed below to pick my student(s) with proper identification.

School Admission Forms are processed within 48 hours. You will receive an email confirmation when we process your application.

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