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Kindergarten Bus Rider Information
Submit one response for each student in your household
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* Indicates required question
Student's Last Name
*
Your answer
Student First Name
*
Your answer
Residential Street Address
*
Your answer
City
*
Choose
Taylor Ridge
Andalusia
Reynolds
Milan
Buffalo Prairie
Illinois City
Edgington
Subdivision or Landmarks nearby (if applicable)
Your answer
Parent/Guardian #1's name (FIRST LAST)
*
Your answer
Parent/Guardian #1's email address
Your answer
Parent/Guardian #1's primary phone number
*
Your answer
Parent/Guardian #1's work phone number
Your answer
Parent/Guardian #2's name (FIRST LAST)
Your answer
Parent/Guardian #2's email address
Your answer
Parent/Guardian #2's primary phone number
Your answer
Parent/Guardian #2's work phone number
Your answer
Identify from the following options the times when your child will ride the bus.
*
Choose
AM
PM
Both AM & PM
Never - he/she will ALWAYS have a different ride
Please identify your child's primary pick-up and drop off location
*
Pick up at home
Alternate pick up location
Drop off at home
Alternate drop off location
Required
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