2023-24 Moser School Student Transportation
The information provided will help Moser staff plan accordingly to ensure that all students are transported home in the correct manner during regular and early dismissal school days. Please complete the form ONLY if your student will be a walker/rider, parent/guardian pick-up, or transportation from school to home will change on Early Dismissal Days. Please submit one form for each student.
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Student Full Name  *
First and last name, and phone number of person completing this form:  *
Parent/Guardian Email Address *
Grade Level: *
Please select your student's fourth grade homeroom teacher (only select one):
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Please select your student's fifth grade homeroom teacher (only select one): 
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Please indicate how your student will go home from school:
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Please complete the following ONLY if your student's transportation from school to home will change on Early Dismissal Days. Please indicate how your student will arrive home on early dismissal days. Please choose one:  
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If your student will be picked-up by a parent/guardian, please include the first and last name of individual(s) authorized to pick up your student from school:
If your student will go to a daycare program, please include the name, address, and number of daycare:
Please include other important transportation information:
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