Id Card Request Form - Springs Charter Schools

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ID Card
Request Form
(Complete form and attach a passport-size photo. Give to your ES or mail to River Springs
Charter School, Student Records, 43462 Business Park Drive, Temecula 92590)
ID Card request is for
Attach 1”x1”
∆ Student
photo here
using tape,
∆ Parent
not glue
∆ Employee, specify job title__________________
Name___________________________________________________________________
Address_________________________________________________________________
City________________________ Zip__________ Phone_(_____)_________________
ID#________________________ Date of Birth__________________________________
Please create a River Springs ID card for the individual listed above. A self
addressed stamped envelope in enclosed for ID card delivery.
ID Card Signature_______________________________ Date_____________________
Parent/Guardian Signature
(required for student ID card requests)
Signature_____________________________________
Date_____________________
Revised 07/2014

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