Sweatshirt Try On Days 2023

Parent Email:*

for form confirmation

Student Full Name:*

First NameLast Name

Grade 25-26:*

Please choose how your child will be picked up :*

Which Bus:*

Who will be picking your child up in the afternoon? List names all names: *

Please include babysitters, relatives, etc. who may be picking up your child/children:

Please name all children in your carpool included in these arrangements:*

If you have different carpool arrangements on different days (i.e., on Mon. - Thu. vs. Friday), please note that below:*

Blank

Completed this form as soon as possible.

PLEASE BE ADVISED, FOR SAFETY REASONS, WE WILL NOT HONOR WHAT YOUR CHILD TELLS US, IF IT IS DIFFERENT FROM THIS FORM, WITHOUT A NOTE FROM YOU THAT MORNING OR YOUR PHONE CALL, IN ADVANCE BEFORE 2:45 PM.

IF THERE ARE ANY LONG-TERM CHANGES TO THIS FORM
Such as new or different authorized pick up person(s), or children to be included on your carpool,
please contact Mrs. Solowitch at solowitchr@hac1.org

Yeshiva Ketana Bus Pickup 2025