TRANSPORTATION PERMISSION FORM
(LAST UPDATED 7/18/2022)
Student Name
First Name
Last Name
List the first and last name of the primary person(s) who will be picking up your student from school?
List the first and last names of any other individual who has permission to pick up your student?
By signing my name below, I consent to allow the above individuals to pick up my children from Centerville Christian School. I recognize that this permission will stand unless I revoke it by phone or in person.
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