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* 1. If you are eligible for transportation from the Levittown School District and agree to opt-out of district transportation for the 2020-2021 school year, please select the first choice below:

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* 2. Parent/Guardian first name

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* 3. Parent/Guardian last name

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* 4. Student name (please complete one form per student)

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* 5. Grade level

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* 6. School your child is scheduled to attend in September

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* 7. Phone number

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