E.S.Y Registration & Transportation Request

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This form must be completed by Friday, May 10, 2024 to ensure transportation for your child to and from the E.S.Y (Extended School Year) program.

Failure to complete the form by Friday, May 10, 2024 will result in a delay in transportation and you will be responsible for your child's transportation to the E.S.Y program until arrangements are made by WPS Transportation.

However, due to the varying days and times of our Drop in Resource Program, WPS cannot provide transportation. Parents will be responsible for transportation to and from Drop in Resource.

PLEASE NOTE THIS REQUEST IS FOR E.S.Y REGISTRATION & TRANSPORTATION ONLY.

Student FIRST Name

Student LAST Name *

Home Address *

#1 Parent/Legal Guardian Full Name *

#1 Parent/Legal Guardian Contact Number *

#2 Parent/Legal Guardian Full Name

#2 Parent/Legal Guardian Contact Number

E.S.Y Program Location *

Lippitt Elementary

Warwick Veterans Middle School

WACTC Annex at Drum Rock (18-22 yrs old program)

Warwick Early Learning Center

Program Student Will be attending *

Elementary Program (8:30 AM to 12:00 PM)

Middle School Program (7:30 AM to 11:00 AM)

High School Program (7:30 AM to 11:00 AM)

Pre-School Full Time (7:30 AM to 11:00 AM)

Drop-In Resource (Time TBD with Educator and Student Need)

Transition Program (9:15 AM to 1:15 PM)

Are you requesting Transportation for E.S.Y (Excludes Drop-In Resource)? *

YES

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