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RHS Car Rider Registration Form
If your child was a car rider last year, they will receive the same number and a new car rider tag.
NOTICE: Tags must be visible at all times when picking up students.
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* Indicates required question
Student’s Full Name (List name of oldest student.)
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Your answer
Student’s Grade
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Your answer
Student’s Teacher’s Name
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Your answer
Additional Students (List full name of any other Rose Hill student/s who will be riding in your vehicle and their grade.)
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Your answer
Parent/Guardian’s Full Name
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Your answer
Relationship to Student/s
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Your answer
Student’s Address
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Your answer
Make of Primary Car Used to Pick up Student
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Your answer
Model of Primary Car Used to Pick up Student
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Your answer
Color of Primary Car Used to Pick up Student
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Your answer
Tag Number of Primary Car
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Your answer
Make of Secondary Car Used to Pick up Student (Answer N/A if this does not apply.)
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Your answer
Model of Secondary Car to Pick up Student (Answer N/A if this does not apply.)
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Your answer
Color of Secondary Car to Pick up Student (Answer N/A if this does not apply.)
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Your answer
Tag Number of Secondary Car (Answer N/A if this does not apply.)
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Your answer
Emergency Contact Person
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Your answer
Emergency Contact Number
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Your answer
Please list people who are NOT allowed to pick up student/s. (Answer N/A if this does not apply.)
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Your answer
List any additional information we need to know.
Your answer
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