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Vehicle Registration 2013-2014 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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