Gloversville Enlarged School District ELEMENTARY SHUTTLE BUS SIGN UP INFORMATION for SCHOOL YEAR 2019-20
Student Name *
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School of Attendance *
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Grade *
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Parent\Guardian Information
Name *
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Home Address *
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Home Phone
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Cell Phone
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A.M. Shuttle Information
My child WILL take the A.M. shuttle from: (Please check one below)
My child WILL NOT take the A.M. shuttle bus.
P.M. Shuttle Information
My child WILL take the P.M. shuttle from (Please check one below)
My child WILL NOT take the P.M. shuttle bus.
Elementary Shuttle Bus- Additional Locations
A.M. Shuttle Information
P.M. Shuttle Information (Drop off times)
Signature of Parent\Guardian
Please sign below *
By entering your name in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge.
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Signature of School Official
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The following people are authorized to accept my child from the bus.
Please list the people you authorizing to accept your child from the bus.
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