Out Of District Bus Trip Attendance Chart

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Otselic Valley Central School
Out-Of-District Bus Trip Attendance
DATE: _________________________
ACTIVITY: _______________________
DESTINATION:
____________________________
BUS DRIVER:
_____________________________________ Bus # _________
_____________________________________ Bus # __________
CHAPERONES:
_______________________________
______________________________________________________
NOTE: This form attached with signed permission slips must be submitted to the District Office upon return to
Otselic Valley Central School.
Student Name
Departure
Return
Comment and/or Parent Signature

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