Please indicate the days your child will ride the bus below: *
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If your child has an alternate address they may be picked up or dropped off at, please list it here:
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If alternate address was provided is this a:
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By signing my name below, I acknowledge that I fully understand that my child/children, when transported via school bus, will be required to wear a face covering (face mask/face shield), for their own safety and the safety of others. *