Brightwheel Approved Pickups

Families, please take a minute to fill out this form and include any family members or other approved pickups you would like to have pick up your child. We will enter each individual into Brightwheel and send them an invitation for them to create an account. Please specify whether you want them entered as a “family member” or “approved pickup,” as their status will give them access to different amounts of information about your child.

Child's Name*
First Last
Additional Child's Name
If you have more than one child enrolled at CBS ECC, you may add their name here.
First Last

Family*

Can create an account, view your child’s feed, check your child in and out, and send messages but cannot receive messages. To add additional family members, use the plus symbol on the far right.

A phone number and email are required for all family members.

Name	Relationship	Phone Number	Email

Approved Pickup

Can create an account and check your child in and out. To add additional pickups, use the plus symbol on the far right.

A phone number and email are required for all additional pickups.

Name	Relationship	Phone Number	Email

Parent Email
If you would like a copy of this form for your records, please provide an email address for one parent.
I give permission for the above individual(s) to have access to a Brightwheel account connected to my child. I also give permission for the above individual(s) to pick up my child from school.*
Yes
Parent/Legal Guardian Signature*
First Last
Parent/Legal Guardian Signature
First Last
Date*
Date Format: MM slash DD slash YYYY

Brightwheel Approved Pickups

Brightwheel Approved Pickups

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