DRIVER'S PERMISSION FORM — CALVARY ACADEMY

STUDENT DRIVER PERMISSION FORM

I hereby certify that my student is permitted to both drive and act as a passenger to another student during regular school hours (8:30 a.m.-3:30 p.m.). I am also aware that students who fail to comply with this regulation will be dealt with according to the Calvary Academy Handbook.

STUDENT NAME

First Name

Last Name

PARENT/GUARDIAN NAME

First Name

Last Name

STUDENT GRADE

MAKE/MODEL OF STUDENT VEHICLE

PARENT/GURADIAN EMAIL

PARENT/GUARDIAN PHONE NUMBER

(###)

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PARENT/GUARDIAN SIGNATURE

Full Name Below

STUDENT SIGNATURE

Full Name Below

STUDENT DRIVER PERMISSION FORM

THE LOWER CAMPUS

THE UPPER CAMPUS