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23-24 Walker Form
Please complete the walker form below.
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* Indicates required question
Names and grade levels of all students that will be walkers.
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Your answer
Homeroom Teacher(s)
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Your answer
Parent/Guardian Name
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Your answer
Parent/Guardian phone number
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Your answer
Name and phone number of Emergency Contacts that can pick up your child(ren).
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Your answer
Names of anyone who is NOT allowed to pick up your child(ren).
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Your answer
I understand that my child(ren) will not be released to anyone that is not listed on this form and who is not 16 years and older.
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Yes
I understand that an ID must be shown to verify the name matches who is allowed to pick up my child(ren).
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Yes
I understand that walkers are picked up outside of the art room door at 3:40 and will be a car rider if it is after 3:50.
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Yes
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