Lunch and Pick Up Permission Slip CMC Summer 2019
Email address *
Student First Name *
Your answer
Student Last Name *
Your answer
Parent/Guardian Name *
Your answer
Lunch Permission (Please Select One) *
Dismissal Permission Bus Riders (Please Select One) *
Dismissal Permission Non-Bus Riders (Please Select One) *
If you require your child to be picked up, please list the following people who are allowed to do so:
1.
Your answer
2.
Your answer
3.
Your answer
4.
Your answer
5.
Your answer
Clicking "I accept" will count as an electronic signature for the information above *
A copy of your responses will be emailed to the address you provided.
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