Zoomer Drive-Thru Form

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Special form for students working from home who need materials from their school locker. Please fill out before 10 am for same-day pickup. Materials will be ready by 1 pm.

Today's Date *

年

月

日

Family Name *

When was your son(s) first day out? *

My son(s) will be out until *

Two weeks from the first day out

We get negative test results back

其他:

If you answered "other" to the previous question, please explain below.

FIRST SON

Name *

Locker # *

Please make a list of the items he will need from his locker. We ask that you describe each item with sufficient detail (i.e.: name, color, subject, etc). *

SECOND SON

Name

Locker #

Please make a list of the items he will need from his locker. We ask that you describe each item with sufficient detail (i.e.: name, color, subject, etc). *

THIRD SON

Name

Locker #

Please make a list of the items he will need from his locker. We ask that you describe each item with sufficient detail (i.e.: name, color, subject, etc). *

FOURTH SON

Name

Locker #

Please make a list of the items he will need from his locker. We ask that you describe each item with sufficient detail (i.e.: name, color, subject, etc). *

Book Pick Up Information

I will pick up my son(s) books from Northridge this upcoming: *

Monday (1-1:45)

Tuesday (1-1:45)

Wednesday (1-1:45)

Thursday (1-1:45)

Friday (1:1:45)

Other

必填

If you checked off the last option in the previous question, please indicate a time that would work for you to come pick up the books. The Northridge remote team will get in touch with you to coordinate a convenient time.

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