Durand-Arkansaw School District Vehicle Usage Request Form
Upon conclusion of your trip, please fill the vehicle up with gas at Countryside Cooperative using the card provided and return the receipt with the keys, card and clipboard to the MS/HS Office.
Email address *
Today's Date *
MM
/
DD
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YYYY
Name of Person Making Request *
Your answer
Name of Activity or Club *
Your answer
Date Vehicle Requested to be Picked Up *
MM
/
DD
/
YYYY
Departure Time *
Time
:
Date Vehicle Requested to be Returned *
MM
/
DD
/
YYYY
Anticipated Return Time *
Time
:
Destination (City, State) *
Your answer
Purpose *
Your answer
Number of People to be Transported, Not Including Driver *
A copy of your responses will be emailed to the address you provided.
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