Please
check one of the four choices
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_____
1.
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My child is to walk
directly home from school.
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_____
2.
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My child is to walk
directly home from school to:
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Name
__________________________________
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Address_________________________________
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Phone
No._______________________________
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_____
3.
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My child is to ride the
bus home. Bus #____________
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_____
4.
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My child will be picked
up from school by:
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Name___________________________________
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Address_________________________________
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Phone
No._______________________________
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Child's
Name______________________________________________
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_________________________________________________________
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Parent/Guardian
Signature
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