Lampeter Strasburg 2022-2023 Alternate Care Transportation Request Form
Students will automatically be assigned to the bus stop closest and/or safest to their HOME address. If your child needs transportation to or from an Alternate Care location, please complete this form by July 1. These forms are valid for the entire school year. A new form must be completed each year. Although the AM and PM bus stop assignments can be different, they must be consistent all five days of the week. Children will NOT be permitted to ride different buses or use different stops on different days of the week. If you have further questions about this form, please email transportation@l-spioneers.org.
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Child's Name *
Child's Grade *
Child's School *
Child's Teacher *
Parent/Guardian Name *
Parent/Guardian Contact Number *
Parent/Guardian Email *
HOME address (including city, state and zip code) *
HOME Bus stop location *
AM Alternate Care Provider *
AM Alternate Care Provider Contact Number *
AM Alternate Care Provider Address *
PM Alternate Care Provider *
PM Alternate Care Provider Contact Number *
PM Alternate Care Provider Address *
Morning Pick Up Location *
Afternoon Pick Up Location *
As a Parent/Guardian of the student name listed above, I hereby acknowledge that my student has permission to ride Lampeter-Strasburg School District transportation, both to and from school. I understand that by requesting Alternate Care bus stop AM and/or PM, I am relinquishing my child's "home" bus stop assignment. I verify that the above information is accurate and complete. Please enter your full name below to indicate your signature for approval. *
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