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Biker Pass Application
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* Indicates required question
Email
*
Your email
Student Last Name
*
Your answer
Student First Name
*
Your answer
Home Address
*
Your answer
2022-2023 Student Homeroom
*
Your answer
When does your child plan to bike?
*
Morning Only (to school only, bike will be picked up after school)
Morning and Afternoon (To school and home from school)
Will your child be accompanied by an adult?
*
Yes
No
I request that my child be issued a Biker Pass for the 2022-2023 School year. Please type your name below as confirmation of your request.
*
Your answer
A copy of your responses will be emailed to the address you provided.
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