By submitting the following form, I am requesting that the child below be transported to/from the address(es) listed. I understand that these locations will be the permanent address for pick up and drop off for the 2021-2022 school year. I acknowledge that once my child is transported from / to the designated pick up and/or drop off point, I assume full responsibility for the safety and welfare of my child at their assigned bus stop. I understand that the bus stop may not be in the direct line of site from my home and, if this is the case, they may require a parental / designee escort to/from their stop. (An escort is mandatory for students in kindergarten through 3rd grade unless written permission is given to the transportation department in order to let the student(s) off unescorted). If my child does not utilize transportation for three (3) weeks concurrently, they will be removed from the route and a new request must be submitted in order for transportation to resume.

AM and PM addresses can be different from each other, however only one location will be allowed for pick up and one for drop off.