AGSD Transportation to Childcare Request Form
The Avon Grove School District may provide transportation services to/from before school/after school care
located within the boundaries of the Avon Grove School District, if there is space available on the established
bus route.
• Students attending such programs must be picked up/dropped off at the same location each school day. If your child attends separate AM/PM daycare locations, please be advised that you must submit a separate childcare request form for each location.
• When transportation services to a care center are terminated at the request of the parent/guardian,
transportation to a location other than the permanent residence will be reinstated only on a space available
basis as determined by the Transportation Department.
• Should new students move into a permanent residence in an area served by a route transporting students to
before school/after school care, and space is not available for the new student, a child attending before/after
school care could be “bumped” in reverse order that permission was granted.

If you have questions, check our Transportation website or call Transportation Supervisor at 610.869.2441 x50700 or agsdtransportation@avongrove.org.
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School of Attendance *
Student Last Name *
Student First Name *
Student ID/Lunch Number *
Grade *
Home Address *
Primary Phone Number *
I am requesting my child to be *
Childcare Provider Name *
Childcare Provider Address *
Childcare Provider Telephone Number *
Requested Start Date for Childcare Transportation *
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Name of Parent/Guardian/Caregiver Completing this Form *
Select the school year for this request *
Submit
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