
Name	First Name	M.I.	Last Name
Phone Number
Email Address


Title I School	Edwin A Alderman Elementary307 Allen Jay Elementary310 Southern Guilford Middle313 Allen Middle316 T Wingate Andrews High319 Bessemer Elementary328 Bluford Elementary331 Brightwood Elementary334 Monticello-Brown Summit Elem340 Ceasar Cone Elementary349 James B Dudley High355 Fairview Elementary364 Waldo C Falkener Sr Elementary366 Ferndale Middle367 Julius I Foust Elementary373 Cyrus P Frazier Elementary376 Gillespie Park Elementary385 Western Guilford Middle397 Doris Henderson Newcomers Sch398 Guilford Elementary400 Otis L Hairston Sr Middle402 Kearns Academy407 Hunter Elementary409 Irving Park Elementary412 Jackson Middle415 Jamestown Elementary418 Jefferson Elementary423 Johnson Street Global Studies427 David D Jones Elementary430 James Y Joyner Elementary436 Kirkman Park Elementary439 Madison Elementary454 Eastern Guilford Middle460 McLeansville Elementary461 Ronald E. McNair Elementary462 Montlieu Academy of Technology469 Northeast Guilford Middle487 Northwood Elementary496 Oak Hill Elementary499 Oak View Elementary505 Parkview Village Elementary511 Clara J Peck Elementary514 Reedy Fork Elementary530 Rankin Elementary532 SCALE School533 Sedgefield Elementary538 Ben L. Smith High School544 Southern Elementary553 Sumner Elementary577 Triangle Lake Montessori Elem578 Union Hill Elementary580 Vandalia Elementary583 Washington Elementary586 Welborn Middle592 Other999

Will you be bringing children?


Do you require transportation?	YesYes NoNo

Bus/Stops	Pick-up Time	Delivery Time
Bus 1
A. Oak View Elementary	7:15 am	2:55 pm
B. Andrews High	7:25 am	2:45 pm
C. Jamestown Elementary	7:35 am	2:35 pm
Bus 2
A. Fairview Elementary	7:15 am	2:50 pm
B. Penn Griffin Middle	7:25 am	2:40 pm
C. Union Hill ELementary	7:35 am	2:30 pm
Bus 3
A. Western High	7:10 am	2:50 pm
B. Joyner Elementary	7:25 am	2:35 pm
C. Cone Elementary	7:35 am	2:25 pm
D. Rankin Elementary	7:45 am	2:15 pm
Bus 4
A. Hunter Elementary	7:10 am	2:50 pm
B. Archer Elementary	7:20 am	2:40 pm
C. Vandalia Elementary	7:30 am	2:30 pm
D. Wiley Elementary	7:40 am	2:20 pm
E. Dudley High	7:50 am	2:10 pm

Do you require an interpreter?

Name	First Name	M.I.	Last Name
Grade	Pre-KPK KindergartenKI First Grade1 Second Grade2 Third Grade3 Fourth Grade4 Fifth Grade5 Sixth Grade6 Seventh Grade7 Eighth Grade8 Ninth Grade9 Tenth Grade10 Eleventh Grade11 Twelfth Grade12
Age	2-4 Years1 5-10 Years2 11-13 Years3 Other4
Allergies	NoneNone FoodsFoods BeesBees OtherOther Special NeedsSpecial Needs
Additional Comments

Name	First Name	M.I.	Last Name
Grade	Pre-KPK KindergartenKI First Grade1 Second Grade2 Third Grade3 Fourth Grade4 Fifth Grade5 Sixth Grade6 Seventh Grade7 Eighth Grade8 Ninth Grade9 Tenth Grade10 Eleventh Grade11 Twelfth Grade12
Age	2-4 Years1 5-10 Years2 11-13 Years3 Other4
Allergies	NoneNone FoodsFoods BeesBees OtherOther Special NeedsSpecial Needs
Additional Comments

Name	First Name	M.I.	Last Name
Grade	Pre-KPK KindergartenKI First Grade1 Second Grade2 Third Grade3 Fourth Grade4 Fifth Grade5 Sixth Grade6 Seventh Grade7 Eighth Grade8 Ninth Grade9 Tenth Grade10 Eleventh Grade11 Twelfth Grade12
Age	2-4 Years1 5-10 Years2 11-13 Years3 Other4
Allergies	NoneNone FoodsFoods BeesBees OtherOther Special NeedsSpecial Needs
Additional Comments

Name	First Name	M.I.	Last Name
Grade	Pre-KPK KindergartenKI First Grade1 Second Grade2 Third Grade3 Fourth Grade4 Fifth Grade5 Sixth Grade6 Seventh Grade7 Eighth Grade8 Ninth Grade9 Tenth Grade10 Eleventh Grade11 Twelfth Grade12
Age	2-4 Years1 5-10 Years2 11-13 Years3 Other4
Allergies	NoneNone FoodsFoods BeesBees OtherOther Special NeedsSpecial Needs
Additional Comments

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