Permission/Transportation

STANDING TRANSPORTATION ARRANGEMENTS

Unless noted otherwise on the calendar, school hours are 8:00am-3:15pm. After School Connection (ASC) is available until 6:00pm, with the exception of early Friday dismissals (Nov. 9-Feb.15) and prior to certain holidays. Changes to your child(ren)’s dismissal schedule can be made as needed by contacting Hillel's office.

Unless otherwise advised, please dismiss my child(ren) as follows:

1) Child's First Name:

Child's Last Name:

Grade:

Monday:

Bus Home After School Bus To Pick up

Bus to (Address):

Pick up by (Relationship):

Tuesday:

Bus Home After School Bus To Pick up

Bus to (Address):

Pick up by (Relationship):

Wednesday:

Bus Home After School Bus To Pick up

Bus to (Address):

Pick up by (Relationship):

Thursday:

Bus Home After School Bus To Pick up

Bus to (Address):

Pick up by (Relationship):

Friday:

Bus Home After School Bus To Pick up

Bus to (Address):

Pick up by (Relationship):

2) Child's First Name:

Child's Last Name:

Grade:

Monday:

Bus Home After School Bus To Pick up

Bus to (Address):

Pick up by (Relationship):

Tuesday:

Bus Home After School Bus To Pick up

Bus to (Address):

Pick up by (Relationship):

Wednesday:

Bus Home After School Bus To Pick up

Bus to (Address):

Pick up by (Relationship):

Thursday:

Bus Home After School Bus To Pick up

Bus to (Address):

Pick up by (Relationship):

Friday:

Bus Home After School Bus To Pick up

Bus to (Address):

Pick up by (Relationship):

3) Child's First Name:

Child's Last Name:

Grade:

Monday:

Bus Home After School Bus To Pick up

Bus to (Address):

Pick up by (Relationship):

Tuesday:

Bus Home After School Bus To Pick up

Bus to (Address):

Pick up by (Relationship):

Wednesday:

Bus Home After School Bus To Pick up

Bus to (Address):

Pick up by (Relationship):

Thursday:

Bus Home After School Bus To Pick up

Bus to (Address):

Pick up by (Relationship):

Friday:

Bus Home After School Bus To Pick up

Bus to (Address):

Pick up by (Relationship):

I hereby give my child(ren) the following permissions:

to accompany the class on any official school field trips. Transportation may be via bus, parents or teachers:

to walk, bicycle, or rollerblade to and from school:

to have his or her photograph or video recording used in Hillel publications, press releases, website, Hillel’s Facebook page, newsletters, advertisements, Ad Journal and yearbook. (Please list any restrictions at the bottom of the page):

to have his or her artwork reproduced in Hillel publications such as Ad Journal, yearbook and website:

Restrictions for Publication Use (If Any):

Restriction:

TEXTBOOK LOAN AGREEMENT

I authorize Hillel Community Day School to act on behalf of this/these students in identifying and ordering books to be loaned to the student(s) identified above, residing in the school district of

Agree to textbook loan:

Please email this form to:

Enter the anti-spam code:

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