How to Create a Clear Pickup Authorization Form

Learn how to create a clear childcare pickup authorization form to ensure child safety. Get tips on what to include and how to implement it in your childcare program.
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A pickup authorization form is one of the most important documents in your childcare program. It clearly outlines who has permission to pick up a child, which is crucial for ensuring their safety and giving families peace of mind. A well-designed form prevents unauthorized individuals from leaving with a child and provides clear instructions for your staff in various pickup scenarios.

This article will walk you through the essential components of a pickup authorization form, how to create one that is clear and effective, and the best practices for implementing it in your childcare program.

Childcare Enrollment Forms

Childcare Enrollment Forms

Use this free set of fillable PDF templates to gather essential information during enrollment.

Key components of a pickup authorization form

To be effective, your pickup authorization form needs to collect specific, detailed information. Each section plays a vital role in ensuring a child’s safety. Here are the key components to include:

Child’s information

This section identifies the child the form applies to. It should be clear and easy to read at a glance.

  • Full name: The child’s complete legal name.
  • Date of birth: To help distinguish between children with similar names.
  • Specific identifiers: Include any nicknames the child responds to or other identifying details.

Parent/guardian information

This section provides contact information for the primary caregivers.

  • Full names: The complete legal names of all parents or legal guardians.
  • Contact details: Home, work, and mobile phone numbers, as well as email addresses.
  • Home addresses: The primary and secondary addresses if applicable.

Authorized individuals

This is a critical section that lists every person approved to pick up the child. Be thorough to avoid any confusion.

  • Full names: List the complete legal name of each authorized person.
  • Relationship to the child: Specify if the person is a grandparent, nanny, family friend, etc.
  • Contact details: Include a reliable phone number for each authorized individual.
  • Photo identification requirement: Clearly state that a photo ID will be required for anyone unfamiliar to your staff.

Emergency contacts

In an emergency where parents or guardians are unreachable, you need a list of trusted contacts who are also authorized for pickup.

  • Names and contact information: Include at least two emergency contacts, their relationship to the child, and their phone numbers.

Special instructions

This section allows families to share important information that might affect pickup procedures.

  • Custody agreements: If there are legal custody arrangements, this section can detail who is and is not permitted to pick up the child. It is best practice to request a copy of the legal documentation for your files.
  • Unique family situations: Any other specific instructions, such as if an individual is only authorized to pick up on certain days.

Signature and date

The form must be legally validated with the signatures of all parents or guardians.

  • Signature and date lines: Spaces for each parent/guardian to sign and date the form, acknowledging that the information is accurate and they agree to the policy.

Steps to create a clear pickup authorization form

A clear and user-friendly form is more likely to be filled out correctly. Follow these steps to design an effective document for your childcare program.

1. Use clear and concise language

Avoid jargon or overly complex terms. The form should be easy for all families to understand, regardless of their background. Use simple headings and straightforward instructions.

2. Include all necessary fields

Use the key components listed above as a checklist to ensure you’re not missing any critical information. Double-check that you have fields for every detail, from the child’s full name to the signature lines for parents and guardians.

3. Provide examples

To minimize confusion, offer examples of how to fill out certain fields. For instance, next to the "Relationship to Child" field, you could include examples like "(grandmother, uncle, nanny)." This helps families provide the exact information you need.

4. Incorporate a photo ID requirement

Explicitly state on the form that authorized individuals must present a valid photo ID. You can include a sentence like, "For your child's safety, all authorized individuals must show a valid photo ID at pickup until they are recognized by our staff." This sets clear expectations from the start.

5. Include a section for special circumstances

Every family is unique, so your form should accommodate special situations. A dedicated section for custody agreements or other specific instructions allows families to communicate important details privately and clearly. This helps your staff handle sensitive situations with care and professionalism.

6. Review and update regularly

A pickup authorization form is not a "set it and forget it" document. Encourage families to review and update the form annually or whenever their circumstances change, such as a move, a change in contact information, or an update to the list of authorized individuals.

Best practices for implementing the form

Creating the form is only half the battle. Successful implementation is key to ensuring it serves its purpose.

Communicate the policy clearly

During the enrollment process, walk families through the pickup authorization policy. Explain why it’s important and how it works. This transparency builds trust and ensures everyone understands their role in keeping children safe.

Verify identification every time

Your staff must be diligent about checking photo IDs for anyone they don’t recognize. This rule should be enforced consistently, without exception. It reinforces your program's commitment to safety and protects against unauthorized pickups.

Keep forms secure and accessible

Store completed forms in a secure but easily accessible location. Your staff should be able to quickly reference the form at pickup time. Digital solutions like brightwheel can help by storing this information securely online, making it instantly available to authorized staff members.

Train your staff thoroughly

Every staff member should be trained on the pickup authorization policy. This includes understanding how to read the form, when to ask for ID, and what to do if an unauthorized person attempts to pick up a child. Regular training sessions can keep this critical safety procedure top of mind.

Handle unauthorized pickups professionally

Establish a clear protocol for situations where an unauthorized person arrives for pickup. Staff should be trained to remain calm, not release the child, and immediately contact the parents or guardians. Having a clear plan helps your team manage these stressful situations safely and effectively.

Make child safety your top priority

A well-designed pickup authorization form is a cornerstone of a safe and secure childcare program. It provides clear, actionable information that protects children and builds confidence with families. By including all the essential components and implementing the form with clear policies and consistent practices, you can create a safer environment for everyone.


Brightwheel is an all-in-one childcare management software that saves time and simplifies operations for early education providers. From billing and parent communication to curriculum and admissions, it combines everything you need in one easy-to-use platform. Trusted by millions of educators and families and backed by a dedicated support team, brightwheel strengthens family connections and ensures seamless operations with reliable performance and robust security. With brightwheel, you’ll spend less time on admin, more time with children.

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