Imagine School at Town Center
Student Dismissal Information

**STUDENTS WILL NOT BE ALLOWED TO RIDE ANY BUS WITHOUT THIS INFORMATION ON FILE**
Please fill out a separate form for each child.

Dear Parents/Guardians,
As parents, we know there is a great deal of excitement you feel when your child enters school or returns from summer break. We share your excitement and are busy preparing to ensure the children are met with a smooth and easy transition. To contribute to these efforts, the Transportation Department needs your assistance.

Parents/Guardians of all students who ride the bus are REQUIRED to read and complete the form. Since we have "common area" pick up and drop off points, we will not dismiss any students from the bus without someone there to pick them up. Please consider the options below and select only ONE option for your child.

To support the safety of all the students it is critical we have this information. Please know the bus drivers cannot drop your child off at the bus stop without a designated representative meeting him/her at the stop. Your child will be returned to the school, and you will have to pick him/her up from there.

Your child's dismissal information, specifying your preference and understanding of procedure, will be kept on file with the Bus Driver and our Transportation Office.

This is for the safety of your student! If you cannot make it to pick up your child, please call the school. Give them your Student's name, grade, Bus Driver's name (or a description of the driver) and color of the window placard. Let the office know you are unable to make it to your child's stop and they will help you from there.

Respectfully, Transportation Department

** IF THE ADULT/SIBLING IS NOT LISTED ON THIS FORM, THE CHILD WILL NOT BE RELEASED TO AN UNKNOWN PERSON** THE STUDENT WILL BE RETURNED TO SCHOOL AND YOU WILL BE CONTACTED**
Email address *
Student's LAST name *
Student's FIRST name *
Student's date of birth *
MM
/
DD
/
YYYY
Grade/Teacher *
Parent/Guardian name *
Parent/Guardian phone number *
Student's Address
Who will meet the student at the bus stop ? ( Please remember there is a 10 minute window before and after the stop time) *
Required
My child can only be picked up at the bus stop by (Name and Relationship) *
Notes for the driver. Please be specific.
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