Brevard Academy Bus Rider Registration Form for Bus Routes ONLY
Please complete the following registration form for up to four (4) students needing bus route service for 2019-2020. Parents will be notified via email if your student(s) has/have a space for the requested route(s). If you have any questions, please contact Mrs. Best at kbest@brevardacademy.school. The bus schedule and routes can be viewed at http://brevard.teamcfa.school/student-life/bus-information/

DUE TO THE HIGH VOLUME OF BUS RIDERS AND LIMITED NUMBER OF SPACES AVAILABLE ON THE BUSES, WE ARE ONLY ABLE TO OFFER BUS SERVICE TO STUDENTS THAT WILL BE UTILIZING ONE OF OUR ROUTES ON A REGULAR BASIS. PARENTS MAY BE CONTACTED TO VERIFY RIDERSHIP.
Email address *
Parent Contact Email Address: *
Your answer
Student #1 Name: *
Your answer
Student #2 Name:
Your answer
Student #3 Name:
Your answer
Student #4 Name:
Your answer
Student #1 Grade Level: *
Student #2 Grade Level:
Student #3 Grade Level:
Student #4 Grade Level:
Student 1: Which bus route would you need your child to ride? (Bus routes/stops may change dependent upon the school's needs) If your child will need to ride different buses on different days please check ALL that apply. *
Required
Student 2: Which bus route would you need your child to ride? (Bus routes/stops may change dependent upon the school's needs) If your child will need to ride different buses on different days please check ALL that apply.
Student 3: Which bus route would you need your child to ride? (Bus routes/stops may change dependent upon the school's needs) If your child will need to ride different buses on different days please check ALL that apply.
Student 4: Which bus route would you need your child to ride? (Bus routes/stops may change dependent upon the school's needs) If your child will need to ride different buses on different days please check ALL that apply.
Parent/Guardian #1 Full Name *
Your answer
Parent/Guardian #1 Cell Phone *
Your answer
Parent/Guardian #1 Home Phone *
Your answer
Parent/Guardian #1 Work Phone *
Your answer
Parent/Guardian #2 Full Name
Your answer
Parent/Guardian #2 Cell Phone
Your answer
Parent/Guardian #2 Home Phone
Your answer
Parent/Guardian #2 Work Phone
Your answer
Emergency (Non-Parent) Contact #1 Name *
Your answer
Emergency (Non-Parent) Contact #1 Phone Number *
Your answer
Emergency (Non-Parent) Contact #2 Name
Your answer
Emergency (Non-Parent) Contact #2 Phone Number
Your answer
Comments/Questions?
Your answer
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