19-20 AAHP "No Stranger at Our Door" Form

Academy of Art of Highland Park & Gallery Inc. (AAHP)

727 Raritan Avenue, Highland Park, NJ 08904 USA

www.aahpnj.com (732)-777-2085

AAHP "No Stranger at Our Door" Form

2019 - 20 School Year

Please use this form to formally grant the Academy of Art of Highland Park (AAHP) permission to release your minor to an adult other than one of their two parents or legal guardians.

You must be the parent or legal guardian
of a student to use this form.

Student Name *

First Name Last Name

Your Name *

First Name Last Name

Your Phone Number *

Area Code Phone Number

Number of people you want to authorize to pick up your minor *

Name of Person 1 *

First Name Last Name

Phone Number of Person 1 *

Area Code Phone Number

Person 1's Relationship With Your Minor *

ex: Babysitter, brother

Name of Person 2 *

First Name Last Name

Phone Number of Person 2 *

Area Code Phone Number

Person 2's Relationship With Your Minor *

ex: Babysitter, brother

Name of Person 3 *

First Name Last Name

Phone Number of Person 3 *

Area Code Phone Number

Person 3's Relationship With Your Minor *

ex: Babysitter, brother

Name of Person 4 *

First Name Last Name

Phone Number of Person 4 *

Area Code Phone Number

Person 4's Relationship With Your Minor *

ex: Babysitter, brother

Name of Person 5 *

First Name Last Name

Phone Number of Person 5 *

Area Code Phone Number

Person 5's Relationship With Your Minor *

ex: Babysitter, brother

I am resubmitting this form as an update, and I understand that this new submission completely cancels and overrides my previous submission. Therefore, I have entered repeated names that I still allow, but omitted names that no longer apply.