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Request for a Carpool Tag
Solicitud para un cartel de viaje compartido para su auto.
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* Indicates required question
Name of Person completing the form and relationship to the student(s). [Nombre de la persona que completa el forumulario y su relación con el estudiante.]
*
Your answer
I have a car tag from 2020-21, and I can reuse it this year. [Tengo un cartel de viaje compartido del año 2020-21, y puedo reutilizarlo este año.]
*
Yes
No
1 - Student Name [Nombre del estudiante-#1]:
*
Your answer
1 - Grade [Grado del estudiante #1]:
*
K
1
2
3
4
5
1 - Teacher's Name [Nombre de la maestra #1]:
Your answer
2 - Student Name [Nombre del estudiante #2]:
Please fill out if you have additional children. [Por favor complete si tiene hijos adicionales.]
Your answer
2 - Grade [Grado-2]:
Please fill out if you have additional children. [Por favor complete si tiene hijos adicionales.]
K
1
2
3
4
5
Clear selection
2 - Teacher's Name [Nombre de la maestra-2]:
Please fill out if you have additional children. [Por favor complete si tiene hijos adicionales.]
Your answer
3 - Student Name [Nombre del estudiante #3]:
Please fill out if you have additional children. [Por favor complete si tiene hijos adicionales.]
Your answer
3 - Grade [Grado-3]:
Please fill out if you have additional children. [Por favor complete si tiene hijos adicionales.]
K
1
2
3
4
5
Clear selection
3 - Teacher's Name [Nombre de la maestra #3]:
Please fill out if you have additional children. [Por favor complete si tiene hijos adicionales.]
Your answer
Mother/Guardian's Name [Nombre de la Madre/Tutor]
Authorized to pick up from car pool. [Autorizada para recoger al estudiante]
Your answer
Mother/Guardian's Phone Number [Numero de telefono de la Madre/Tutor]
Your answer
Father/Guardian's Name [Nombre del Padre/Tutor]
Authorized to pick up from car pool. [Autorizado para recoger al estudiante]
Your answer
Father/Guardian's Phone Number [Numero de telefono del Padre/Tutor]
Your answer
Authorized Contacts: Please list the names of relatives/neighbors/friends to whom we may release your child to in carpool. Any additional changes to list must be done at the Office. [Contactos autorizados: Indique los nombres de parientes / vecinos / amigos quienes tienen permiso de llevar su estudiante en viaje compartido.
1 - Name [Nombre y apellido #1]
Your answer
1 - Relationship [Relacion #1]
Choose
Relative [Pariente]
Neighbor [Vecino]
Friend [Amigo]
1 - Phone number [Numero de telefono #1]
Your answer
2 - Name [Nombre #2]
Your answer
2 - Relationship [Relacion #2]
Choose
Relative [Pariente]
Neighbor [Vecino]
Friend [Amigo]
2 - Phone number [Numero de telefono #2]
Your answer
3 - Name [Nombre y apellido #3]
Your answer
3 - Relationship [Relacion #3]
Choose
Relative [Pariente]
Neighbor [Vecino]
Friend [Amigo]
3 - Phone number [Numero de telefono #3]
Your answer
4 - Name [Nombre y apellido #4]
Your answer
4 - Relationship [Relacion #4]
Choose
Relative [Pariente]
Neighbor [Vecino]
Friend [Amigo]
4 - Phone number [Numero de telefono #4]
Your answer
5 - Name [Nombre y apellido #5]
Your answer
5 - Relationship [Relacion #5]
Choose
Relative [Pariente]
Neighbor [Vecino]
Friend [Amigo]
5 - Phone number [Numero de telefono #5]
Your answer
Additional comments! [Comentarios adicionales]
Your answer
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