Authorized Pick Up Form

I,

, authorize

to pick up my child(ren):

from Montessori Academy

of Temple Terrace

on

or

through

Your Signature

Please sign using your finger or your mouse.

Montessori Academy of Tampa Bay - Lic # CTA130274

Montessori Academy of New Tampa - Lic #CHC430837

Montessori Academy of Temple Terrace - Lic #CTT433052

Montessori Preparatory School of Temple Terrace - Lic #NTT431098

Montessori Preparatory School of Ocala - Lic #C05MA0044

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