Transportation Request USD #273        
If you would like bus transportation for your student(s) to and from schools, you MUST complete this form. Students that are currently being transported must reapply for the new school year. If you live within the city limits of Beloit, you are NOT eligible for Transportation.
If you have any questions please contact Keith Kresin at 785-534-2409 or keith.kresin@dsbuslines.com
Email *
Please answer the above questions here: 
If you have more than one student needing transportation, please include each student and their information as well. 
 *
Please check all that apply *
Required
Previous Bus Route Number: *
Parents Names: *
Parents Home Address: *
Parents Home Phone Number: *
Parents Email Address: *
Mothers Name: *
Mothers Work Phone Number: *
Mothers Cell Phone Number: *
Fathers Name: *
Fathers Work Phone Number: *
Fathers Cell Phone Number: *
Emergency Contact Name: *
Emergency Contact Relationship to Student: *
Emergency Contact Home Address: *
Emergency Contact Cell Phone AND Home Phone Number: *
If your student(s) has any special needs or medical issues that the bus driver needs to know please list them below:
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