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Page 1: vehicleregistrationfall2012(1)

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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