Alternate Address Request for Transportation Form

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Please note: Your child may be assigned an alternate pick up or drop off route,
however this must be consistent and can not be assigned to different buses/bus
stops on different days of the week.

The alternate address must be within the school attendance area. For kindergarten
students the alternate address must be in the same kindergarten area; i.e. AM
kindergarten area)

Email *

Option 1

Clear selection

Student Name *

School *

Parent/Guardian Electronic Signature *

Address:

Phone:

Alternate Pick Up Address:

(Must be consistent Monday-Friday)

Name of Day Care Provider:

Alternate Drop Off Address:

(Must be consistent Monday-Friday)

Name of Day Care Provider:

Address:

Phone:

Submit

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