Mother Lode 2022/23 Transportation Application
For additional Information regarding transportation and bus passes please go to  https://www.mlusd.net/page/transportation


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Email *
Parent/Guardian Name *
Street Address *
City *
Zip Code *
Phone Number (in case we have questions/concerns) *
STUDENT #1
Student #1 First Name *
Student #1 Last Name *
Does your student (#1) have any health concerns? *
If yes, please explain:
Student #1 School *
Student #1 Grade Level *
Student #1 AM Stop (Go to https://www.mlusd.net/page/bus-routes to view bus stop information)  If your student is not riding in the morning, please enter n/a. *
Student #1 PM Stop (Go to https://www.mlusd.net/page/bus-routes to view bus stop information)   If your student is not riding in the afternoon, please enter n/a.   *
Type of Pass *
Student #2
Student #2 First Name
Student #2 Last Name
Does your student (#2) have any health concerns?
Clear selection
If yes, please explain:
Student #2 School
Clear selection
Student #2 Grade Level
Student #2 AM Stop (Go to https://www.mlusd.net/page/bus-routes to view bus stop information)  If your student is not riding in the morning, please enter n/a.
Student #2 PM Stop (Go to https://www.mlusd.net/page/bus-routes to view bus stop information)  If your student is not riding in the morning, please enter n/a.
Type of Pass
Clear selection
Student #3
Student #3 First Name
Student #3 Last Name
Does your student (#3) have any health concerns?
Clear selection
If yes, please explain:
Student #3 School
Clear selection
Student #3 Grade Level
Student #3 AM Stop (Go to https://www.mlusd.net/page/bus-routes to view bus stop information)  If your student is not riding in the morning, please enter n/a.
Student #3 PM Stop (Go to https://www.mlusd.net/page/bus-routes to view bus stop information)  If your student is not riding in the morning, please enter n/a.
Type of Pass
Clear selection
If you have more than three students, please fill out a second application for your remaining students.
TK/Kindergarten Walk Permission - It is our policy that TK/Kindergarten students may only exit the school bus at a school bus stop when an authorized adult, parent or guardian are present.  If you have a TK/Kindergarten student, please affirm that you have read this and will abide by the policy.   *
Bus Safety and Conduct Forms will be sent home the first week of school or can be picked up in the school office.  Please insure that your student(s) fully understand the rules and appropriate conduct.  All forms should be signed by parents/guardians and returned to your school.  Failure to return the form, could prevent your students from riding the bus.
Parent/Guardian Signature *
Today's Date *
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A copy of your responses will be emailed to the address you provided.
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