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CHAMLIAN
ARMENIAN SCHOOL
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Chamlian Carpool Form
Chamlian Carpool Form
Please complete the form below.
Student 1 Full Name
*
Answer Required
Student 1 Homeroom
*
Answer Required
Parent/Guardian 1 Full Name
*
Answer Required
Parent/Guardian 1 Phone Number
*
Number Required
Car 1 Make/Model
*
Answer Required
Car 1 License Plate Number
*
Answer Required
Student 2 Full Name
*
Answer Required
Student 2 Homeroom
*
Answer Required
Parent/Guardian 2 Full Name
*
Answer Required
Parent/Guardian 2 Phone Number
*
Answer Required
Car 2 Make/Model
*
Answer Required
Car 2 License Plate Number
*
Answer Required
If there are additional students included in the carpool, please list the names and homeroom classes here
Answer Required
I have read and understand the terms and conditions for the carpooling incentives listed on the school website.
*
Answer Required
Yes
No
I understand that each carpool vehicle is required to display the decal provided by the school.
*
Answer Required
Yes
No
I understand that, in order to qualify for the monthly $75 tuition discount per car, a five-day commitment is required.
*
Answer Required
Yes
No
Confirmation Email
Confirmation Email
*
Email Required