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TOWN OF SMITHSON SCHOOL AGE CHILD CARE MAUREEN FIORELLA Director Tel: (631) 3607517 Fax: (631) 3607604 Email: schoolagechildcare tosgov.com Website: www.smithtownny.gov Supervisor Patrick R. Echo
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SACC Authorized Pick-up Form is a document that allows an individual to pick up a child from a SACC (School-Age Child Care) program.
Any individual who is not the legal guardian of the child but has permission to pick up the child from the SACC program must file the SACC Authorized Pick-up Form.
The SACC Authorized Pick-up Form typically requires basic information about the child, the authorized individual, and contact information. It must be signed by the legal guardian.
The purpose of the SACC Authorized Pick-up Form is to ensure the safety and security of the child by only allowing authorized individuals to pick them up from the SACC program.
Information such as the child's name, the authorized individual's name, relationship to the child, contact information, and any special instructions must be reported on the SACC Authorized Pick-up Form.
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