Student Pickup Drop-off Log Form
Use this form to record each student pickup or drop-off event for operational tracking. Please complete all required fields for every event.
Student Full Name
*
First Name
Last Name
Date of Pickup/Drop-off
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Event Type
*
Pickup
Drop-off
Authorized Person's Full Name
*
First Name
Last Name
Relationship to Student
*
Please Select
Parent/Guardian
Sibling
Relative
Family Friend
Nanny/Babysitter
Other
Staff Member Recording Event
*
First Name
Last Name
Pickup/Drop-off Location
Time Out (if applicable)
Hour Minutes
AM
PM
AM/PM Option
Additional Notes (optional)
Submit Log
Should be Empty: