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Gloucester Public Schools- School Bus Use/Charter Request Form
This form should be completed no less than 15 business days prior to trip departure.
Gloucester Public Schools only provides school buses for school related functions.
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Requestor Name
Your answer
Requestor Email
Your answer
Requestor Phone number
Your answer
Requesting Group
Your answer
Requesting School
Choose
Beeman Elementary School
East Gloucester School
Gloucester High School
Gloucester Pre-School
O'Maley Middle School
Plum Cove Elementary School
Veteran's Memorial Elementary School
West Parish Elementary School
Trip Information
School Buses are available from 9:15am-1:30pm Monday-Friday or anytime on the weekends for charters. Trips outside this timeframe may required the use of an outside charter company. This must be approved prior to scheduling trip by the Director of Transportation and Building Administrator.
Date of Trip
MM
/
DD
/
YYYY
Pick up Location (if other than school, give address)
Your answer
Departure time from pick up location
Time
:
AM
PM
Destination/Drop off Location- Include address
Your answer
Return time (time leaving from off site location)
Time
:
AM
PM
Number attending
Your answer
Is bus required to stay at destination?
Yes
No
Special Requests
Wheelchair Bus (10 Passenger)
Full Size School Bus (77 Passenger)
Small School Bus (30 Passenger)
Contact name during trip
Your answer
Contact cell phone during trip
Your answer
Billing Information
Gloucester Public Schools Transportation Department will invoice your school group for the trip. No money should be given to the driver of any charter or send to the transportation department prior to receiving an invoice.
Group or Individual to be invoiced
Your answer
Mailing Address of Group or Individual
Your answer
Email of Group or Individual
Your answer
Budget Line/Code to be Invoiced (in applicable)
Your answer
Approval
This trip request has prior approval of the building administrator.
This trip request has prior approval of the building administrator.
Yes
No
Clear selection
Name of Administrator granting approval
Your answer
Submit
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