GMES Car Rider Loop Application Information Sheet: 2022-2023
This form must be completed by the child(ren)'s legal parent/guardian.  
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Email *
Student 1's Name (Last, First) *
Student 1's Homeroom Teacher *
Student 2's Name (Last, First)
Student 2's Homeroom Teacher
Student 3's Name (Last, First)
Student 3's Homeroom Teacher
My child(ren) will be transported home from school by car on the following days... *
Required
Name of Authorized Transport Person 1 *
(Last Name, First Name)
Color, Make, and Model of Transport Person 1's Vehicle *
Name of Authorized Transport Person 2
(Last Name, First Name)
Color, Make, and Model of Transport Person 2's Vehicle
Name of Authorized Transport Person 3
(Last Name, First Name)
Color, Make, and Model of Transport Person 3's Vehicle
I hereby give permission for the person(s) name above to transport my child(ren) home from school.  I will make sure these individuals are listed on my child(ren)'s emergency contact information.  I understand that my child(ren) will be dismissed daily to the car loop, and I will not sign them out each day, nor will their name(s) be called on the afternoon announcements.  I will wait in my vehicle until I reach the location where my child(ren) will be released to my vehicle. (Please print your full name to 'sign.') *
A copy of your responses will be emailed to the address you provided.
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