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Middlesex Elementary School Permanent Car Rider Application
Please complete this form if your child will be a car rider for the 2024-2025 school year. We ask that you complete a separate form for each child. Thank you!
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Student Name: (First Name, Last Name)
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Grade:
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Pre-K
K
1
2
3
4
5
Parent/Guardian Name: (First Name, Last Name)
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Home Phone Number:
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Cell Phone Number:
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Parent/Guardian Name: (First Name, Last Name)
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Phone Number:
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Cell Phone Number:
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Emergency Contact Person Name: (First Name, Last Name)
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Home Phone Number:
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Cell Phone Number:
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