Transportation Request Form (Temple Charter Academy)
Priority Charter Schools
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  By checking the "Agree" box, you are affirming each student has successfully enrolled in a Priority Charter Schools campus. Failure to ensure enrollment prior to completing this form will void this request and delay the approval process. *
Required
Due to the large area of coverage, Priority Charter Schools' (PCS) Transportation department is unable to provide door-to-door pickup or drop-off. Transportation will work to provide a convenient stop as close to each family as logistically possible.  All transportation requests must be completed, submitted, reviewed, and approved before a student may ride a PCS bus.  Approvals are based on location, distance from campus, and seat availability.  If you have any questions or concerns that hinder your acknowledgment of this statement, please contact the school's secretary before completing this transportation request form. *
Required
Student rider (1) - Name (Please provide your oldest student rider's first and last name.  You will be given the opportunity to add additional names for each student rider within the same family.)                                       *
Student rider (1) - Grade level *
Student rider (2) - Name (Leave blank if there are no additional riders.)      
Student rider (2) - Grade level (Leave blank if there are no additional riders.)
Clear selection
Student rider (3) - Name (Leave blank if there are no additional riders.)
Student rider (3) - Grade level (Leave blank if there are no additional riders.)
Clear selection
Student rider (4) - Name (Leave blank if there are no additional riders.)        
Student rider (4) - Grade level (Leave blank if there are no additional riders.)
Clear selection
Student rider (5) - Name (Leave blank if there are no additional riders.)
Student rider (5) - Grade level (Leave blank if there are no additional riders.)
Clear selection
AM pick-up address - Please provide the address where you wish for your student rider/s to be picked up (i.e. home address, work address, etc.). The Transportation department will use this address to determine the closest AM stop. *
PM drop-off address - Please provide the address where you wish for your student rider/s to be dropped off (i.e. home address, work address, etc.). The Transportation department will use this address to determine the closest PM stop. *
Parent/guardian (1) - Name *
Parent/guardian (1) - Cell number *
Parent/guardian (2) - Name
Parent/guardian (2) - Cell phone
Before submitting your request, please ensure all information is correct. It is the parent/guardians responsibility to notify their student rider/s campus of any address or phone number changes.  By checking the following box, you agree to notify the school office of address and/or phone number changes. *
Required
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