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Leib Elementary Car Rider Form
Please fill out the information below if your student will be a daily car rider.
Your child will then be added to the car rider dismissal system. Thank you!
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* Indicates required question
Email:
*
Your answer
Student Last Name:
*
Your answer
Student First Name:
*
Your answer
What grade is your student going to be in for the 24/25 school year?
*
Your answer
List below any siblings you would also like to add and their grade level:
Your answer
Please list the adults allowed to pick up your student(s):
*
Your answer
Do you need a new car rider permit?
**Please note: If your student was a Car Rider last year, their same permit number will carry over.**
*
Yes
No
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