Car Rider and Parent Pick-Up Form 2023-2024

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Please complete this form if you plan to pick up your child(ren) from the car rider line or walk up to the building for parent pick up.

Please enter 1 child at a time. You will enter each additional child below.

Be sure to click through the entire form until you get to the submit button on the last page.

Please do not complete this form more than once.

Thank-you!

First Name of Child 1 *

Last Name of Child 1 *

Grade Level in 23-24 *

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

How will your child get home from school?
(*Please only choose their primary "day to day" method) *

Car Rider

Parent Pick Up (Parent walks up to the the building to get child)

List adults able to pick up child (provide full name) *

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