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Fairfax Villa Kiss & Ride Registration Form
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* Indicates required question
Email
*
Your email
Last name
*
Your answer
First name
*
Your answer
Make and model of car (e.g. Toyota, Camry)
*
Your answer
Color of car
*
Your answer
Name and grade level of the child to be picked up
*
Your answer
If you have more than one child: Name and grade level of the child #2 to be picked up
Your answer
If you have more than 2 children: Name and grade level of the child #3 to be picked up
Your answer
If you have more than 3 children: Name and grade level of the child #4 to be picked up
Your answer
Name of the other authorized person to pick up your child/children
*
Your answer
Relationship to child and phone number
*
Your answer
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