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School Bus Registration Form 2017/18
Please provide the following data to register your student to ride a bus in the 2017/18 school year. If you need assistance identifying the stop nearest you, please contact First Student at (541) 752-0174.
First Name - Preferred
Your answer
Last Name - Preferred
Your answer
School
Grade
Parent/Guardian
Your answer
Parent/Guardian Email Address
Your answer
Parent/Guardian Daytime Phone
Your answer
Emergency Contact
(Last, First)
Your answer
Relationship
(ie. grandparent, aunt, family friend, etc.)
Your answer
Emergency Contact Daytime Phone
xxx-xxx-xxxx
Your answer
Student plans to ride the bus:
(Choose all that apply) Note: If you are planning transportation to/from an alternate address, please make sure it is entered below.
Required
Home Address - Street Number
Your answer
Home Address - Street Name
Your answer
Home Address - Apartment # or Unit #
Your answer
Home Address - City
Your answer
Zip Code
(9733X)
Your answer
Alternate Address -Street Number
Your answer
Alternate Adress - Street Name
(SW Fir Road)
Your answer
Alternate Adress - Apartment # or Unit #
(#123)
Your answer
Alternate Address - City
(Corvallis)
Your answer
Alternate Address - Zip
(9733X)
Your answer
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