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2022-2023 BECEP ECSE Transportation Registration Form
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* Indicates required question
Student First Name
*
Your answer
Student Last Name
*
Your answer
If you child will be transported with their wheelchair-please let us know what type of wheelchair they use.
Child DOES NOT use a wheelchair.
Child will use a manual wheelchair (a wheelchair that is pushed)
Child will use an power wheelchair.
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Parent/Guardian First Name
Your answer
Parent/Guardian Last Name
Your answer
Parent/Guardian Phone Number
Your answer
Pick-Up Address
Your answer
Pick-Up Phone Number
Your answer
Drop-Off Address
Your answer
Drop-Off Phone Number
Your answer
The following individuals are authorized to escort my child to and from the bus (anybody listed below must be at least 16 years old and provide a picture identification)
*
Your answer
Emergency Contact #1 Name (Someone to contact in case we are unable to reach you)
Your answer
Emergency Contact #1 Phone Number
Your answer
Emergency Contact #2 (Someone to contact in case we are unable to reach you)
Your answer
Emergency Contact #2 Phone Number
Your answer
I have read and reviewed the Transportation Bus Guidelines
*
English Guidelines -
Click Here
Yes - Checking yes means that guidelines will be followed.
Students registering for busing will be added to routes within 7 school days. Thank you.
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