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School Bus/Transportation Registration Form 2020-21
Please provide the following transportation information for your student.
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* Indicates required question
Please provide your Student's ID number
*
Your answer
First Name - Preferred
*
Your answer
Last Name - Preferred
*
Your answer
School
*
Choose
Pleasant Hill Elementary
Pleasant Hill Middle/High School
Grade
*
Choose
Kinder
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Other
Student Transportation (choose all that apply)
*
For transportation to and from "alternate address," please ensure the address is entered below.
From Home To School in the morning
To Home after School
From Alternate Address to School
To Alternate Address after School
Parent Pick-up/Drop-off
Student Driver (Please fill out Off Campus & Parking Pass forms)
Other:
Required
Parent/Guardian Name
*
Your answer
Parent/Guardian Daytime Phone
*
Your answer
Parent/Guardian Email Address
Your answer
Emergency Contact (Last, First)
This will be your contact to reach WHILE STUDENT IS ON THE BUS if parent/guardian is unavailable.
Your answer
Relationship
ie. Grandparent, Aunt, Family Friend, etc.
Your answer
Emergency Contact Daytime Phone
Your answer
Home Address - Street Number
Example: 84455
Your answer
Home Address - Street Name
Example: N Enterprise Road
Your answer
Home Address - Apartment # or Unit #
Example: "Unit 3" or "Apt 5"
Your answer
Home Address - City
Example: Pleasant Hill
Your answer
Zip Code
97455
Your answer
Alternate Address - Street Number
Your answer
Alternate Address - Street Name
Your answer
Alternate Address - Apartment # or Unit #
Your answer
Alternate Address - City
Your answer
Alternate Address - Zip Code
Your answer
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