22-23 VALERIUS AFTER SCHOOL FORM

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22-23 VALERIUS AFTER SCHOOL FORM

PLEASE TELL US HOW YOUR STUDENT WILL BE GOING HOME ON A REGULAR BASIS. Complete a separate form for each student.

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* Indicates required question

Student Name (FIRST AND LAST) *

Your answer

TEACHER NAME *

Springer (K)

McLaughlin (K)

Darnielle (1)

Teresi (1)

Miller (2)

Tredway (2)

Gillespie (3)

Thompson (3)

Batteram (4)

Bruggeman (4)

Mertens (5)

Polley (5)

Regular Pick Up Plan *

BUS

WALKER

PARENT PICK UP

ADVENTURETIME

TRADITIONS DAYCARE VAN

Other:

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