Owatonna Preschool Transportation Application

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There are many factors that go into bus placement such as the pickup and drop off address, preschool location, and time of class. Please read the information below. A copy of this application will be emailed to the email address below. Please forward this to your school for their records.

Email of Person Submitting the Application *

Valid Email Address for Family (if not provided above)

I am a *

By clicking each box, I hereby agree that: *

Applications will not be considered if any information is missing.

Bus rides are $1 each way.

I am aware that my child is not guaranteed a spot on the Preschool Transportation Route.

My child will be placed on a waiting list if they can't be accommodated on a bus route.

I consent to Disclosure, Mutual Release, and Sharing of Private Information among the partners within the Preschool Transportation Collaborative.

Any aggression against staff, including verbal aggression will not be tolerated and will result in suspension of services.

I am aware that if there are any behavioral issues, my child may be removed from the bus.

I am aware that all Preschool Transportation staff are mandated reporters.

If my phone number or address changes, I will contact SMART Transportation (855-762-7821) to update them on my new information.

If SMART Bus or United Way cannot reach the parents for drop off or in case of an emergency, the child may be subject to removal from the bus if no contact is available.

I understand that it is my responsibility to notify SMART Transportation (855-762-7821) if my child is sick or not needing transportation for the day.

Required

Child's First Name *

Child's Last Name *

Child's Gender *

Preschool Attending in Owatonna? *

What type of transportation are you needing? *

Where is your child being picked up or dropped off? (Select one pick up and one drop off) *

Pick up from Home

Pick up from Daycare/Childcare (Also fill out Childcare Provider Details Below)

Drop off at Home

Drop off at Daycare/Childcare (Also fill out Childcare Provider Details Below)

Required

Which days will you be needing transportation (check all that apply) *

Monday

Tuesday

Wednesday

Thursday

Friday

Required

Class Start Time *

Time

Class End Time *

Time

If your child is not placed on the bus, will they still be able to attend preschool? (Note: Preschool Transportation was created for families with true transportation barriers, please be mindful of your own situation.) *

If your child is not granted two-way transportation (TO and FROM school), will your child still be able to attend preschool? *

Child's Age on Sept 1st, 2024 *

Parent or Guardian Information

Parent/Guardian First Name *

Parent/Guardian Last Name *

What is your language preference? *

What is your child's language preference? *

Home Address *

City *

State *

Phone Number *

Work Phone Number

Daycare/Childcare Information

If you selected that your child will be picked or dropped off from a Daycare/Childcare, this section is required. If this information is not applicable, please mark NA in each required field.

Daycare/Childcare Provider's Name *

Daycare/Childcare Provider's Address *

Daycare/Childcare Provider's City *

Daycare/Childcare Provider's State *

Daycare/Childcare Provider's Phone Number *

Daycare/Childcare Provider's Email *

Emergency Information

Please list two people, other than yourself, who can receive the child and/or be notified in case of an emergency.

Emergency Contact 1 Name *

Emergency Contact 1 Phone Number - Note: This cannot be the same phone number listed for the parents. *

Emergency Contact 1 Relationship to the Child *

Emergency Contact 2 Name *

Emergency Contact 2 Phone Number Note: This cannot be the same phone number listed for the parents. *

Emergency Contact 2 Relationship to the Child *

Accommodations

Does the student have any allergies? *

Is the student on an IEP ( Individualized Educational Plan), 504 Plan or any other plan? *

Please list any other accommodations.

Final Review

Riding the bus is a privilege- I understand that I or another adult must be waiting for my child to get off the bus on time and if there are changes to my phone number or address, I must notify SMART Dispatch at 855-762-7821 right away. *

I agree

Required

United Way of Steele County has my permission to use my or my child’s photograph publicly. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use. *

Optional - What Race/Ethnicity does your child identify as?

African-American/Black

Asian and Pacific Islander

Indian/Pakistani

Latino/Hispanic

Native American

Middle Eastern/North African

Bi-Racial/Multiracial

White (non-Latino)

Other:

Clear selection

If I move after my child has been assigned to a route, my child will be automatically moved to the waiting list until a spot becomes available. *

I understand

Required

Scholarships

Scholarships are available! If you feel your family may be eligible for a scholarship for preschool transportation (funded by United Way of Steele County) please speak with your preschool director. Families that are eligible for free & reduced lunch with the school district generally qualify for free preschool transportation.

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