Please complete both portions of this form: GD MIDDLE SCHOOL BUS NOTE DATE: ___________________________ My student, ____________________________________________________________________, has my permission to ride home today on bus # ___________ with __________________________________________________________________________. Parent/Guardian Signature: ___________________________________________________________ GD MIDDLE SCHOOL BUS NOTE Student Name: ________________________________________________________________________ Date: _______________________________ Bus # ______________ Destination: __________________________________________________________________________ Authorization (to be completed by office Admin): ____________________________________________
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