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Boys and Girls Club Shuttle Request Form
2024-25 School Year
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Email
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Your email
Student Name:
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Student ID #
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Grade:
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Campus your student attends:
*
OBP
OBI
BJHS
BHS
P.M. - Boys & Girls Club
I would like my student to be routed to B&G club ONLY
I would like my student to be routed to B&G club as primary with option to go home as alternate
I would like my student to be routed to HOME as primary with option for B&G as alternate
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Legal parent/guardian:
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Legal parent/guardian signature:
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