Full name of parent/guardian requesting gate access card for student *
Your answer
Student Full Name *
Your answer
Student Grade *
Choose
9
10
11
12
License Plate State *
License Plate Number *
Your answer
Please confirm that you and your student understand that possession of a student gate access card is a privilege which may be revoked by the school at any time. For the safety and security of the school community, a student's card may not be shared with anyone else; shared cards will be suspended and access privileges will be revoked. If the card becomes lost or stolen, it must be reported to the Technology Department (support@canterburyflorida.org) immediately so that the card's access can be suspended. *
A copy of your responses will be emailed to the address you provided.