Permission Slip for Shuttle Transportation
By acknowledging "I agree" below, I give my permission for my child to be transported to Orange Lutheran High School from the Sears parking lot by Orange Lutheran High School staff or designee. *
Student Name *
Last, First
Your answer
Student Graduating Class of *
Parent/Guardian Name *
Your answer
Emergency Contact Phone Number *
Your answer
By selecting 'I Agree' below, you hereby attest under penalty of perjury that you are the Parent/Guardian of the above stated student and that all responses above were made and agreed upon by you. *
Date *
Your answer
Parent/Guardian email address *
Your answer
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