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Vehicle Registration 2012-2013 Academic Year
Parents participating as drivers for field trips must have this form on file.
Date _______________________________________
Please fill out the following information and attach a copy of:
Driver’s License
Insurance Card
Driver’s Name ______________________________________________________________
Number of Children Who can be Transported Safely ___________________________________
Model and Year of Vehicle ______________________________________________________
License Number of Vehicle _____________________________________________________
Insurance Carrier ____________________________________________________________
Policy Number and Expiration Date _______________________________________________
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