Please Select the Appropriate Choice that Applies *
The district is not required by law to provide bus service to residents who live 4 miles or less but may allow students to ride if students are willing to board the bus at a location on the established route.
Are you requesting for a preschooler to be transported?
Please note that all preschoolers MUST have an older sibling to be able to participate in the bus route.
Clear selection
Parent/Guardian Name (First and Last) *
Your answer
Parent/Gaurdian Phone Number *
Please include area code (555-555-5555). This number would be in case of an emergency or if a driver has any questions or concerns regarding your student(s) riding the bus.
Your answer
Additional Phone Numbers
Please include area code (555-555-5555). If there is a home phone number or spouses cell number you would like to add to the family's information, please list here in case of an emergency or questions or concerns regarding your student(s) riding the bus.
Your answer
Address *
Please fill out your full address (example: 555 155th Rd, Albion, NE 68620)
Your answer
Distance from School *
How many miles do you live from school? Please specify which school.
Your answer
Please give directions from either Albion or Petersburg *
Pleaes be sure to specify whether you are giving directions from either Albion or Perersburg in your description.
Your answer
Type of Route *
I request bus service for the following student(s):
Please only list students that will actually be utilizing the bus service.
Student #1 Name (First and Last), Age and Grade *
Please answer in the order asked (example: John Doe, 7, 1st Grade)
Your answer
Student #2 Name (First and Last), Age and Grade
Please answer in the order asked (example: John Doe, 7, 1st Grade)
Your answer
Student #3 Name (First and Last), Age and Grade
Please answer in the order asked (example: John Doe, 7, 1st Grade)
Your answer
Student #4 Name (First and Last), Age and Grade
Please answer in the order asked (example: John Doe, 7, 1st Grade)
Your answer
Student #5 Name (First and Last), Age and Grade
Please answer in the order asked (example: John Doe, 7, 1st Grade)
Your answer
Student #6 Name (First and Last), Age and Grade
Please answer in the order asked (example: John Doe, 7, 1st Grade)
Your answer
Additional Notes
If you have any specific notes to your family's bus route form, please add here.
Your answer
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