GUARDIAN HAVE CUSTODY? O yEs O NO tipsy NAME M45 LAST ...CA% ACCUSZ off STATE To COO( 4StP.r.,P),PAYeAP*VDIPA,EETY.m.r.PRDAATIPTOr , , Ilaiel a flo „,, (3E0 PART c PERSON'S) OTHER THAN PARENT AUTHORIZED TO PICK UP STUDENT. DTI PASSWORD CO. uoteciac iALLAT (40) NAME ADDRESS PHONE R