OFIS Yearly Car Rider Form

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Students being picked up on specific days of the week or every day at dismissal

Email *

Student's legal first name: *

Student's legal last name: *

1. Name/Cell Number of Person Picking Student Up *

2. Name/Cell Number of Person Picking Student Up *

3. Name/Cell Number of Person Picking Student Up *

Parent/Guardian First Name: *

Parent/Guardian Last Name: *

Parent/Guardian Cell # *

Parent/Guardian Email Address *

By entering my name above, I (the parent/guardian) authorize OFIS to release my student (named above) to the person indicated on this form. *

YES

Required

A copy of your responses will be emailed to the address you provided

A copy of your responses will be emailed to the address you provided.

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