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Rochester CUSD3A Transportation Form 2023-2024
The transportation department looks forward to serving your student for the upcoming school year. YOU MUST REGISTER YOUR STUDENT(S) EVERY YEAR for bus service! We thank you for taking the time to complete the following form even if your student will not ride the bus. (Some High School students are Not eligible for busing-see below)
When completing the form please keep in mind the following:
*** The information we need is what your students will be doing on a regular basis.
*** Please complete a form for EACH of your children that attend the district.
*** High School students living less than 1.5 miles from school, North of HWY 29, are NOT eligible for busing.
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* Indicates required question
Email
*
Your email
STUDENT INFORMATION
Student's first name
*
Your answer
Student's last name
*
Your answer
Student's date of birth
*
Your answer
Grade of student for the upcoming year 2023-2024?
*
Choose
Early Childhood
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
GUARDIAN ONE INFORMATION
Guardian One FULL name:
*
Please enter first and last name.
Your answer
Guardian One phone:
*
Enter the phone number to be reached in case of emergency.
Your answer
GUARDIAN TWO INFORMATION
Guardian Two FULL name:
Please enter first and last name.
Your answer
Guardian Two phone:
Enter the phone number to be reached in case of emergency.
Your answer
Individuals the student can be released to:
Your answer
BUS TRANSPORTATION
Student's home address:
*
Please enter the home address of the student. INCLUDE: #, STREET, ZIP CODE
Your answer
My child WILL RIDE the school bus.
*
YES
NO
Will ride from HOME in AM
Check days student will ride
M
Tu
W
Th
F
Will ride to HOME in PM:
M
Tu
W
Th
F
Alternate address Child will use (parent, private day care, etc):
Please enter the alternate address. INCLUDE: #, STREET, ZIP CODE
Your answer
Alternate adult responsible
Your answer
Phone #
Your answer
Will ride from ALTERNATE in AM
Check days student will ride
M
Tu
W
Th
F
Will ride to ALTERNATE in PM
M
Tu
W
Th
F
Transport from AM GROUP DAYCARE
Silverleaf
Beginning Steps
NO DAYCARE
Clear selection
Transport to PM GROUP DAYCARE
Silverleaf
Beginning Steps
NO DAYCARE
Clear selection
SCHEDULING COMMENTS
Please enter any scheduling information, such as alternate stop schedule, ect.
Your answer
A copy of your responses will be emailed to the address you provided.
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