ATLANTA PREPARATORY

Transportation Agreement

This is to certify that I give (Name of Facility)
Permission to transport my child (Name of Child)
from (Pickup Location) at (am/pm)

to (Delivery Location) at (am/pm).

My child will be transported from (Pickup Location) at (am/pm)

to (Delivery Location) at (am/pm)

on the following days:
MondayTuesdayWednesdayThursdayFriday

(Name of Authorized Person) is authorized to receive my child. In the event the authorized
person is not present to receive my child, the following procedures are to be followed:

The (Location) is approximately miles from the center. In the event

that my child is not to be transported as outlined above, I agree to notify the (Facility)

Signature (Parent/Guardian) Date

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