Atlantic Community School District -- Transportation Request Form (18-19)
Please complete the form below. Please do this for each student in your household. Thanks so much in advance.
If you have any questions, please contact Dave Eckles at 712-243-3374.
What grade is your student going to attend in 2018-2019? *
Student's Full Name. *
Last Name, First Name
Your answer
Which attendance center (building) will your student be attending? *
Required
Student's Gender. *
Female/Male
Required
Parent/Guardian's Name. *
Your answer
Parent/Guardian's Address: *
Street, Town, Zip (ie: 1100 Linn Street, Atlantic 50022)
Your answer
Parent/Guardian's home telephone number. *
ie. 712-243-4252
Your answer
Parent/Guardian's cell or work phone number. *
ie. 712-243-4252
Your answer
Emergency Conatct Person and Relationship: *
ie: John Smith, Grandpa
Your answer
Emergency Contact Phone Number *
Ie: 712-243-4252
Your answer
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