Parent/Child Reunification (PCR) Authorization for Release of Student Department of School Safety and Security MONTGOMERY COUNTY PUBLIC SCHOOLS Rockville, Maryland 20850 MCPS Form 236-1 July 2016 Student Name Date of Birth / / School Parent(s)/Guardian(s).
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How to fill out the MD MCPS Form 236-1 online
Filling out the MD MCPS Form 236-1 is an essential step for ensuring the safe release of your child in case of an emergency. This guide will provide you with clear, step-by-step instructions to complete the form effectively online.
Follow the steps to complete the MD MCPS Form 236-1 online.
- Click ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
- Begin by entering the student name in the designated field at the top of the form. Ensure that the name is spelled correctly and as it appears in school records.
- Enter the school name where your child is enrolled. Verify the accuracy of the school's official name.
- For additional names, you can attach a separate piece of paper, but remember to initial in the provided space to indicate that more names are included.
- If applicable, enter the name of your child's after-school daycare provider and their contact number.
- Finally, sign and date the form at the bottom. This signature confirms that you are the custodial parent or legal guardian and that the information provided is accurate.
Complete your MD MCPS Form 236-1 online today to ensure your child's safety during emergencies.
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