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After School Travel Arrangement

Family Name

Child(ren) Names AND Grades (First and Last Name, Grade)

My child(ren) have permission to:

Walk Home

Go to Kid's Club

Will be picked up in carpool by me

Walk to... (include name of person that child(ren) have permission to walk to in next section)

May be picked up in carpool by (include name(s) in following section)

My child(ren) have permission to walk to:

My child(ren) may be picked up in carpool by:

Others who have permission to pick up my child(ren) are:

I undersatnd that my child(ren) cannot be released to anyone else other than those listed, without written notification.

Acknowledgement of statement above.

Parent/Guardian E-Signature

Date

Email

Thanks for submitting the After School Travel Arrangement Form!

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Tecnologías de la información

Tel: 405-843-3909

1905 Elmhurst Ave.

Oklahoma City, OK 73120

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Por Christ The King Catholic School 2121