Carpool Signup Form

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Carpool Signup Form

Parent's Name *

Scholar's Legal Name(s) - first and last - This will not be published. It helps us ensure the scholars are enrolled at Cicero. *

Scholar's Grade(s) *

Street address *

Zip code *

Parent email *

Phone number (###-###-####) *

Are you looking for a morning or afternoon carpool? *

Mornings

Afternoons

Both Mornings & Afternoons

Not sure

Required

Please agree to the liability disclaimer to submit the form. *

Great Hearts Academy Cicero assumes no responsibility for any errors, omission, delay, damage, and/or injury due to use of the Community Carpool Program provided within this application. Great Hearts Academy Cicero assumes no liability whatsoever for the loss or damage to any vehicle and/ or its contents, or for injury to or death of any person, which arises in the course of, in connection with or as a result of the Community Carpool Program, including, without limitation, vehicle accidents, driving infractions and incidents involving carpool participants. Great Hearts Academy Cicero is not responsible for ensuring the quality or licensing of drivers that participate in the Carpool Program, or for ensuring that vehicles of participants are road worthy and properly insured.

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