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MCUSD Bus Student Questionnaire
Please enter your e-mail address
Email address *
NOTE: Please enter details for ONE student at a time
What is the student's first name? *
Your answer
What is the student's last name? *
Your answer
What school will the student be attending? *
What is the student's grade level? *
If the student was a bus rider last year, what was the bus number? *
Please enter the physical home address details.
911 designation
What is the home address number? Street number only please. Example: 1234 *
Your answer
What is the home address street directional designation. Choose "None" if not applicable. *
What is the home address street name? Street name only please. Example: Pine *
Your answer
What is the home address street designation? *
What is the home address city?
What is the primary phone number for communication about the student? Please use this format: ###-###-#### *
Your answer
What is the name of the head of household or guardian contact? *
Your answer
What is a good emergency phone number? Please use this format: ###-###-#### *
Your answer
If the student has a daycare provider, please provide the details below.
What is the name of the daycare provider?
Your answer
What is the daycare phone number? Please use this format: ###-###-####
Your answer
What is the daycare address number? Street number only please. Example: 1234
Your answer
What is the daycare address street directional designation. Choose "None" if not applicable.
What is the daycare address street name? Street name only please. Example: Franklin
Your answer
What is the daycare street designation?
What is the daycare address city?
Will the student be picked up by bus from this daycare in the morning?
Will the student be dropped off by bus at this daycare after school?
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