RescueUSD Transportation Application
Additional information referred to in this form such as the Kindergarten Walk Slips, School Bus Stops (Pickup/Drop Off), and the Free/Reduced forms please go to www.rescueusd.org/Departments/Transportation/index.html (Free/Reduce form please provide a copy of ONE month's income)
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Parent/Guardian Name *
Street Address *
City *
Zip Code *
Email Address *
Daytime Phone Number *
Student 1
Student 1 First Name *
Student 1 Last Name *
Does your child have any health concerns? *
Required
If yes, please explain:
Student 1 School *
Student 1 Grade Level *
Type of Pass *
Student 2
Student 2 First Name
Student 2 Last Name
Does your child have any health concerns?
If yes, please explain:
Student 2 School
Student 2 Grade Level
Type of Pass
Student 3
Student 3 First Name
Student 3 Last Name
Does your child have any health concerns?
If yes, please explain:
Student 3 School
Student 3 Grade Level
Type of Pass
If you have more that 3 students please fill out a second application for your remaining students
Kindergarten Walk Permission Slip
If Yes, complete the Kindergarten Walk Permission Slip using the link below. Kindergarten students are required to have a designated person at least 13 years of age at the bus stop to receive them. Parents of kindergarten students may sign a waiver that allows the kindergartner to walk home unattended or with a person younger than 13 years of age.

https://bit.ly/2Gq96SA
Kindergarten Walk Permission Slip Requested? *
PAYMENT IS TO BE MADE IMMEDIATELY WHEN APPLYING*
Mail or deliver payments to: Rescue Union School District Transportation Department, 2460 White Oak Road, Rescue, CA  95672.

-Titan Payment System- https://family.titank12.com/ 
-Make Checks / Money Orders Payable to:Rescue Union School District
-A $25.00 minimum processing charge for non-sufficient funds WILL BE assessed on all checks returned by the bank.
-There will be a $5.00 fee for replacement of LOST or DESTROYED bus passes.
Parent/Guardian Digital Signature *
Date of Digital Signature *
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This form was created inside of Rescue Union School District.