RURAL BUSING REGISTRATION FORM
For all students requiring transportation to Wild Rose schools.

• Complete and submit the online application to register for student transportation.
• Your family will receive a telephone call from the bus driver or bus contractor to provide the pick up location, pick up time and the official start date for transportation.

APPLICATIONS RECEIVED DURING THE SUMMER MONTHS WILL NOT BE PROCESSED UNTIL AUGUST.
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Please select appropriate school year *
Parent / Guardian Information
Parent / Guardian 1 Name *
Relationship to student? *
Home Phone Number *
Work Phone Number
Cell Number:
Email Address:
Lives with child *
Required
Parent / Guardian 2 Name
Relationship to student
Home Phone Number
Work Phone Number
Cell Number:
Email Address:
Lives with child
Home Address Information
Please enter your street/house *number* only in the first box, and your street/Range Road etc. *name* only in the second box
911 / Locator / Street Address (number) *
Street / Road (name) *
Yes, my mailing address is the same as the above.
Mailing Address (if different):
City:
Postal Code
Different pickup/dropoff from resident address
All students are permitted to have one pickup/dropoff location unless it is a split custody situation.  If your student is accessing the bus at a location different than your residence, please enter the complete address below.  You may be contacted for further information
Pickup/Dropoff Address (if different from resident address):
Student Information:
School Name: *
Grade: *
Date of Birth (DD/MM/YYYY): *
Student Legal Last Name: *
Student First Name: *
Medical / Medication Information we may require:
Emergency Contact Name 1 *
Contact needs to be available during busing times.
Emergency Contact 1 Phone Number *
Emergency Contact Name 2
Emergency Contact 2 Phone Number:
I have reviewed the Transportation Services Parent Handbook *
The information on this form is being collected pursuant to the Education Act and the Freedom of Information and Protection of Privacy Act. If you have any questions concerning the collection or use of this information please contact us at (403) 845-3376.
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