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Leib Elementary Car Rider Form
Please fill out the information below.
Your child will then be added to the car rider dismissal system.
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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 25/26 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
Please indicate your student's car rider schedule. Will they be a car rider daily, mornings only, afternoons only, or occasionally? (If occasional, please make sure to call the office in order to notify us in advance.)
*
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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