Parent Guardian Name: Checking this box is equal to your hand signature.
The following individuals are authorized to pickup our child/ren:
The following individuals are NOT permitted to pickup our child/ren:
For questions about enrollment, you may begin by filling out an application online, or e-mail Melissa Porter at firstname.lastname@example.org
Pick Up Authorization
Stretch and Grow Form
4927 Wrightsville Ave.
Wilmington, NC 28403