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Non-Public School Application for Transportation and or Textbooks                                                  
* THIS APPLICATION IS FOR THE SCHOOL YEAR 2023-2024                                             

* APPLICATIONS ARE DUE NO LATER THAN APRIL 1ST 2023

* LINDENHURST UFSD DOES NOT PROVIDE TRANSPORTATION FOR A SCHOOL OVER
   15 MILES FROM THE RESIDENCE.
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Email *
REQUESTING: *
STUDENT'S LAST NAME (Apellido Estudiante) *
STUDENT'S FIRST NAME (Nombre) *
LINDENHURST ADDRESS (Direccion-numero de casa) *
PARENT/ GUARDIAN NAME *
PRIMARY TELEPHONE NUMBER (Numero de Telefone) *
GRADE IN SEPTEMBER 2023 (Grado) *
DATE OF BIRTH *
MM
/
DD
/
YYYY
PREVIOUS SCHOOL (Escuela) ATTENDED (SY 2022-23) *
SCHOOL (Escuela) FOR THE UPCOMING SY 2023-2024 *
SCHOOL ADDRESS & PHONE NUMBER *
SCHOOL HOURS *
SCHOOL START DATE *
MM
/
DD
/
YYYY
HIGH SCHOOL LATE RUNS
Please call Lindenhurst Transportation (631) 867-3050 by 10:00 a.m. to request a late bus for that day.  Thank you
A copy of your responses will be emailed to the address you provided.
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