WPA Latchkey Registration Form 2007-2008
Child's Name					Grade		Teacher
Address					City		Zip Code
Home Phone Number							Child's Birthday
Father's Name					Work #		Cell#
Mother's Name					Work #		Cell#
Name					Relationship		Phone Number
For your protection, please list all persons to whom we may release your child.  They must provide identification
Parent Name - Please Print
Parent's Signature