Student Contact And Emergency Form Page 2
ADVERTISEMENT
1
2TRANSPORTATION INFORMATION:
We cannot release your child to individuals not listed below without your prior written consent.
arrival:
dismissal:
O
O
parent
parent
O
O
carpool
carpool
O
O
LABus
LABus
O
O
metro bus
metro bus
O
O
taxi
taxi
O
O
walk
walk
school bus (specify
county)____________________
school bus (specify
county)____________________
other
________________________________________
other
________________________________________
The following people have my permission to transport my child:
name:
______________________________________________________
phone:
_____________________________________________________
relationship to student:
______________________________________
parent’s/guardian’s signature:
__________________________________________
date:
__________________
student’s name:
_____________________________________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Medical