Transportation Form

*Please complete the form below for the 2023-2024 school year so that your child can be entered into the bus routing system.

Bus Transportation Form - Complete 1 per student for a bus to be assigned to your child.

18 Questions

1) Student's Name:

2) Parent's/Guardian's Name:

3) I _______________ want bus service for my child for the 2023-24 school year.

DO

DO NOT

4) School Student is zoned for in the 2023-2024 school year:

5) Student's grade for the 2023-2024 school year:

6) Is your child currently participating in School Choice?

Yes

No

7) Do you plan on utilizing school choice this year?

Yes

No

8) Which school of choice is/will your child be attending for the 2023-2024 school year? (optional)

This question does not require an answer if your child has not applied for School Choice.

9) Physical Home Address (No P.O. Boxes):

10) City:

11) Zip Code:

12) ENTIRE PHYSICAL ADDRESS WHERE CHILD WILL BE PICKED UP IN THE MORNING (No P.O. Boxes):

*If not riding a bus in the morning, place NO RIDE in the answer box.

13) ENTIRE PHYSICAL ADDRESS WHERE CHILD WILL BE DROPPED OFF IN THE AFTERNOON (No P.O. Boxes):

*If not riding a bus in the afternoon, place NO RIDE in the answer box. Type SAME LOCATION if the student will be dropped of at the same location as he/she was picked up.

14) Number where you can be reached:

15) Additional numbers where you can be reached: (optional)

16) Other Emergency names and numbers:

17) If your child receives Special Education services, does your child's IEP indicate special transportation services be provided? (optional)

*ONLY ANSWER THIS QUESTION IF YOUR CHILD RECEIVES SPECIAL EDUCATION SERVICES.

YES

NO

18) Does your child require a 5-point harness while riding the bus?

YES

NO

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