Child Pick-Up Authorisation Letter
This child pick-up authorisation sheet is for parents, guardians, schools, and clubs that need written permission for someone else to collect a child. It includes fields for the child’s name, class or group, school or club, parent or guardian, and a section that says I authorise the following person(s) to collect my child. The table has columns for name, relationship, phone, and ID to show, with three blank rows. It also includes valid from, valid until, allergies or medical notes, emergency contact, parent signature, and date.

Free printable · PDF
- 1 page
- US Letter — choose “Fit to page” for A4
- PDF, 51 KB
Free for personal, family and classroom use.
Fill in the child’s details, list each approved collector, and note any medical or allergy information. Add the dates the authorisation applies, then sign and date the form. Print a copy for the school, club, or caregiver who needs it, and keep one for your records.
Good for
- School pickup permission form
- Club dismissal authorization record
- Emergency caregiver contact sheet
Tip: Print one copy for each approved collector and keep a signed copy with the child’s school records.
8 files · DOCX, PDF
Get every sheet: Authorisation Letter Templates
This sheet plus 7 more in one download, with the editable Word files. Seven editable authorisation letters — general, document collection, parcel collection, child pick-up, bank or utility, vehicle use and revocation — with a guidance sheet.
$5.00 USD, one-time 8 files · about $0.63 each
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General Authorisation Letter Template1 page · free PDF
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Bank Authorization Letter Template1 page · free PDF
Revocation of Authorisation Letter1 page · free PDF