Affiliate Photo ID Authorization Form

Affiliate Photo ID Authorization Form
If you are a Parent or Guardian and your Affiliate received an ID card last school year then please fill out this form, and we will reactivate the Affiliate's card.

If you are a Parent or Guardian, and you have an Affiliate who has never received a card, please fill out this form. Once the form is completed and submitted, the Brooklyn Friends Tech Dept. will print out an ID card which will be available for pickup at the receptionist's desk at 375 Pearl Street.
Affiliate First Name*
Affiliate Last Name*
Phone Number*

Area CodePhone Number
Relationship to Student*
Parent/Guardian Name*
Student/s Name/s*
Student/s Grade/s
During the academic year, which program is the student enrolled? *

BFS StudentHorizons
Reason For New ID Request*

I am requesting that an Affiliate's card be reactivated.I am requesting a card for a new Affiliate.The Affiliate's card is lost and I am requesting a new card.
In order to process your request, we need a photo of the affiliate whose name will appear on the card. You may either submit a jpg image, take a photo with your computer, or have your picture taken at the security booth at 375 Pearl Street .
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