Regular Education Transportation Registration/Change of Address Form
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School Year *
Select the appropriate school year from the list below
Student's First Name *
Student's Last Name *
School *
Grade *
Effective Date *
MM
/
DD
/
YYYY
Riding (Select AM, PM, Both, or No Transportation Needed) *
Required
Street Address
City
Preferred Phone Number
*
COMPLETE THE INFORMATION BELOW ONLY IF DIFFERENT FROM HOME ADDRESS (above).
Pick Up Street Address (if different from home address)
Pick Up City
Pick Up Address Info
Clear selection
Drop Off Street Address (if different from home address)
Drop Off City
Drop Off Address Info
Clear selection
Submit
Clear form
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