Alternate Transportation Request Form

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Welcome to the online Alternate Transportation Form for Columbia Local Schools.

An Alternate Transportation Request form must be submitted annually, BY JUNE 1st, for each student in grades K through 8th for the upcoming school year.

This form is ONLY to be completed if the student requires transportation other than riding the school bus to/from their home address. Students that plan on riding the school bus to and from home are NOT to complete this form.

New residents or residents moving within the district may complete this form after the deadline with proof of residency or proof of address change.

Email *

ALTERNATE TRANSPORTATION REQUEST FORM

Please complete a separate online request form for each student in your household in need of Alternate Transportation service.

Students First Name *

Students Last Name *

Grade *

Home Address *

Preferred Phone Number(s) of Parent/Guardian *

PLEASE READ CAREFULLY:

I am requesting that my child (named above) be transported to and/or from a location other than my residence. I understand that the alternate location designated below will be the permanent address to pick-up and/or drop-off for the entire school year, Monday through Friday, and must be located on a regularly established bus route.

Alternate Location Details

Enter the information below for the alternate location

Alternate Street Address *

Name of Responsible Adult at this address *

Relationship to child *

Preferred Phone Number of person(s) at this address *

Alternate Transportation needed. (AM, PM, Both) *

BOTH

Authorization / Signature

I hereby release Columbia Local School District, its Board of Education, and its employees from any liability, which may result from complying with my instructions for transportation of my child to and/or from a location other than school and my residence. Furthermore, I indemnify and hold harmless said named entities and individuals from any cost and/or damages resulting from my instructions for transporting my child.

I acknowledge that once my child is transported to and/or from the designated pick-up and/or drop-off point of safety, I assume full responsibility for the safety and welfare of my child.

Below, please type full name of parent/guardian completing this form. This will serve as your legal signature and authorization of this request.

Signature *

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