PBCCS 2021-22 Transportation Request Form
Please complete the following form with as much detail as possible.  This will help us to create schedules and routes for the school year.  
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Email *
Student Name *
Student Name (2)
Student Name (3)
Student Name (4)
Residence
Street Address *
City *
My student(s) will ride the Prineville bus in the MORNINGS *
My student(s) will ride the Prineville bus in the AFTERNOONS *
My primary stop will be at
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My student(s) will connect to another route at Crook County HIGH SCHOOL
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My student(s) will ride the Prineville bus on the following days:
Powell Butte Bus
The Powell Butte bus route will accommodate those students within the Powell Butte Community.  A morning route and afternoon route will be available.  Bus stop locations will be offered and parents may choose the stop nearest to the home address or nearest to an alternative location (child care, grandparent, etc.)
My student(s) will ride the Powell Butte bus in the MORNINGS *
My student(s) will ride the Powell Butte bus in the AFTERNOONS *
My primary stop will be
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Alternative Location Details
Please provide the following information IF your child will be using a bus stop that is NOT nearest your home address, for example a child care location or grandparent's house.  Use the "additional notes" section to provide any other necessary information regarding your child's alternative bus stop.  
My student(s) will be using an alternative location in the
Clear selection
My student(s) will be using an alternative location on the following days
Address
Contact Person
Contact Phone #
Additional Notes:
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