Teacher Information Card

Please fill in your child's information below. If there are siblings, please fill out the next child's information on the next page.

Please fill in your 2nd child's information below. If there are more siblings, please fill out the next child's information on the next page. If you have only one child attending, you may skip this section.

Please fill in your 3rd child's information below. If you have only one child or two children attending, you may skip this section.

To ensure the safety of all our students, CCCS has implemented the following checkout/carpool policy. We do not allow students to be picked up by anyone who is not on our pickup permission list. Please list below all who have permission to pick up your child(ren) on a regular basis, giving names, relationship, and contact number(s). The persons listed below will be the only ones to whom your child will be released. In the case of any emergency pickup by someone not on our list, or should your child be riding home with another student at CCCS, we would need written or verbal permission from the parents – no exceptions. These names will be on file in the School Administrator’s office.

The following person(s) have my permission to pickup my child(ren):