2023-2024 Bus Pass Application

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Email *

Parent/Guardian Information

Name *

Home Phone *

Physical Address *

Mailing Address (or write Same) *

Student Information

Student Full Name *

Date of Birth *

YYYY

School Site *

Grade *

Is your student a must be met? Click the box you prefer *

This Kinder-5th student MUST BE MET at the school bus stop by a parent or designated adult for the 2023-2024 school year

This Kinder-5th student may be released at the school bus stop without a parent or designated adult present for the 2023-2024 School Year

Click here if your student is not in Elementary School

Required

Please check each box acknowledging disciplinary actions that can be taken *

Damage or vandalism to the bus/district equipment will result in immediate revocation of bus privileges for a minimum of 1 week. The responsible party for any student will be held financially liable for the cost of repairs. Fees range from $100 +. All Fees Shall be paid before student transportation will resume.

Fighting on the bus or at the bus stop will result in immediate revocation of bus privileges for: 1st offense – minimum of 2 weeks, 2nd offense – minimum of 1 Month, 3rd Offense – Remainder of school year. Regardless of who instigated the fight. Please encourage your student to speak with you or their driver about any issues they are having. Call Transportation as soon as possible with information.

Smoking, Vaping, Consumption of Alcohol or any other illegal substance; having unsafe or unauthorized objects will result in in immediate revocation of bus privileges for: 1st offense – minimum of 3 weeks, 2nd offense – minimum of 6 weeks, 3rd Offense – Remainder of school year

Required

My digital signature authorizes SJUSD Transportation to transport my student to and from the assigned bus stop as printed on the bus pass. I also realize that my student must review and adhere to the rules and regulations for safe riding as per the Rider Rules and Transportation Safety Plan, which is available on our website and in the Transportation office. Please take a moment and review the available information with your students. With your help and the cooperation of all student passengers, we will be able to continue to provide safe transportation for all passengers. All students are required to display his/her school bus pass to the driver each and every day before boarding at bus stops and at the school loading zones. Students without a current bus pass shall be denied transportation services and will be referred for possible disciplinary action.

By typing my full name here, I acknowledge that I am the educational rights holder for the student on this form, and that I agree with and will adhere to the above mentioned terms. *

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