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Funderblast School Pick Up Waiver
Permission to Pick Up
*
I authorize Funderblast LLC to pick up the below mentioned child(ren) from school and transport them in the authorized and insured vehicle that is owned by Funderblast LLC.
*
Indicates required field
Child 1 Name
*
First
Last
School
*
Grade
*
Classroom
*
Special Notes?
*
Child 2 Name
*
First
Last
School
*
Grade
*
Classroom
*
Special Notes?
*
Parent Name
*
First
Last
Parent Phone
*
Release of Liability
*
By clicking this box, I hereby release, discharge and indemnify Funderblast LLC, their administration, staff, employees, officers, directors, volunteers, insurers, agents, and representatives from any and all claims, causes of action, liability or damages arising out of, or relating to the transportation of my child(ren).
Submit
Home
About
Meet The Staff
Meet Louie The Lightning Bolt of Love
FAQ
School Year Camps
Kids Night Out
SUMMER CAMPS
Peace Summer Camp
Scott Valley Summer Camp
Homestead Summer Camp
Fairfax Summer Camp
Petaluma Summer Camp
Fishing Camp
Preschool
SHOP
Contact Us