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Daily PreScreen
IF YOUR FORM DOES NOT GO THRU PLEASE CALL OR TEXT 413-822-5310.   Please have this form completed 1 hour prior to your child's pick-up time EVERY DAY. PM ONLY TRANSPORTATION SHOULD BE IN BY NOON. Any questions, please call 413-822-5310.
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Date *
MM
/
DD
/
YYYY
Child's Name *
My child will need transportation *
The phone number I can be reached at today is *
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