Transportation Request Form

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Transportation Request Form - 2023-24

Please provide the information requested below for student transportation on district school buses. Complete this form for each child in your home. Our safety procedures permit only one address for pick-up and one address for drop-off. All requests require at least 24 hours from the next business day to process.

Child's First Name (1 per form) *

Child's Last Name (1 per form) *

Parent/Guardian Name *

Student's Date of Birth *

YYYY

Grade *

Contact Phone Number *

Emergency Contact Person *

Emergency Contact Person Phone Number *

What is the Contact Person's E-mail Address? *

Will you be transporting your child to/from school? Note: this must apply to all days of the week. *

Yes I am transporting- mornings only

Yes I am transporting- afternoons only

Yes - I am transporting both mornings and afternoons (no bus needed)

No - my child needs to ride the bus every morning and afternoon

Morning Pick-Up Address (Only one address permitted, enter NONE if you are transporting) *

Morning Pick-Up Nickname (i.e. home, Grandma's house, daycare, etc.) *

Afternoon Drop-Off Address (Only one address permitted, enter NONE if you are transporting) *

Afternoon Drop-Off Nickname (i.e. home, Grandma's house, daycare, etc.) *

Afternoon Drop-Off Phone Number (Enter NONE if you are transporting) *

What date would you like this to start? (Please allow 24 hours from the next business day) *

YYYY

Submit

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