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
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DD
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Name of Person Making Request *
Name of Activity or Club *
Date Vehicle Requested to be Picked Up *
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DD
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YYYY
Departure Time *
Time
:
Date Vehicle Requested to be Returned *
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DD
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YYYY
Anticipated Return Time *
Time
:
Destination (City, State) *
Purpose *
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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