Village Elementary Parent/Guardian Pickup Request Form

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If you are planning to pick your child up on a regular basis or periodically, please complete this form.

Parent/Guardian Last Name *

Parent/Guardian First Name *

Youngest Student in Family Last Name *

Youngest Student in Family First Name *

Please indicate if you will always pick up your child(ren) or if they will sometimes take the bus. *

Remember, if you are changing your pickup plans on any day, please notify the attendance office as soon as possible, but no later than 10 am each day. Thank you for your support with this.

Always pickup

Sometimes pickup/sometimes ride the bus

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