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Student Transportation Services Waiver Form 2020/21
Thank you for completing this form to allow us to better plan for transportation services at the start of the fall school year. Please complete a separate waiver for each child.
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* Indicates required question
Email Address
*
Your answer
I agree to waive transportation services for my child named below and understand I will be responsible to provide his/her transportation to and from school for the 2020/21 school year
*
Yes
No
Parent Name (First, Last)
*
Your answer
Student Last Name
*
Your answer
Student First Name
*
Your answer
Student Grade Level
*
5
6
7
8
9
10
11
12
Student School
*
Washington School
Millburn Middle School
Millburn High School
Required
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This form was created inside of Millburn Township Public Schools.
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