I have a form for parents to fill out for me if someone other than Mom or Dad ( or who is on the registration forms ) who will picking up their little one.

I am bringing on a new family who will have 2 other family members who will be picking him up and everyday might be different.
So I wanted your thoughts on what to put on my form for this little one's file.
This is what I have....thoughts? Suggestions on improvements?

I give permission for the family listed below to pick up ____________________ _________________ from daycare without giving daily notice

____________________ ____________________ _ relationship to child_______________ __________
____________________ ____________________ _ relationship to child ____________________ _____




Parent/Guardian signature___________ ____________________ __Date______________ __________
Parent/Guardian signature___________ ____________________ __Date______________ ___________



Thanks ladies