What is the first name of the person filling out the form? *
Your answer
What is the last name of the person filling out the form? *
Your answer
How many families do you carpool with? *
Please list the student names and grades that carpool with you. Example "John Meadows, 4th", "Sally Meadows, 2nd" *
Your answer
In the event a child you are carpooling with has a fever or does not pass the health screen, the child will not be able to attend school that day and you will need to keep the child in the car. This is an acknowledgement of this policy. *
Please add adults that are picking up or dropping off your child to your emergency contacts (blue card). *