LA MOYE SCHOOL

Walking Bus Form

Child/Children's Names*

I would like my child/children to take part in the Walking Bus in the morningsYesNo

Please tick which morningsMondayTuesdayWednesdayThursdayFriday

I would like my child/children to take part in the Walking Bus in the afternoonsYesNo

Please tick which afternoonsMondayTuesdayWednesdayThursdayFriday

I would be happy to volunteer to help walk with the childrenAMPM

Parent/Carer Name* Parent/Carer E-mail Address* Parent/Carer Mobile Number*

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