What is the student's name they prefer to go by? *
Your answer
What grade is the student in? *
Is the student riding the activity bus home? (It can take over an hour and students may walk up to a mile depending on the drop off point) *
Will you be picking up the student? *
Date *
MM
/
DD
/
YYYY
Who is your math teacher? *
Your answer
What is the name of your math class (Examples: Math 6, Math 7, Algebra I, Geometry, Math 8) *
Your answer
Does this student have permission to leave Central for Math team meets and ride the bus to and/or from our meet locations (which includes leaving before periods 8 and 9 on meet days)? *
Parent #1 First and Last Name *
Your answer
Parent #1 Phone numbers *
Your answer
Parent #2 First and Last Name *
Your answer
Parent #2 Phone numbers *
Your answer
Name of person to call just in case a parent is unavailable *