Campfield Carpool/Walker Sign-up
The purpose of this form is to enroll a student in carpool at Campfield Early Learning Center.
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Email *
Student Name *
Teacher Name
Student Grade Level *
Guardian Name #1: *
Guardian #2 Name:
Name of other authorized adults that can pick-up student:
Vehicle tag numbers authorized for pick-up *
Does this student have a sibling or relative at Campfield that would ride in the same vehicle? If so provide relative name and grade level.
Contact Phone Number *
Return this form to Ms. C     Carpool Number assigned (Staff Only)
A copy of your responses will be emailed to the address you provided.
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