Transportation Survey
Contact Information
Father/Guardian Name
Your answer
Mother/Guardian Name
Your answer
Address *
Your answer
Mobile# *
Your answer
Student Information
Name of Student (1) *
List Names of all Students that Attend Andalusia in your Household
Your answer
Grade of student (1) *
Name of Student (2)
List Names of all Students that Attend Andalusia in your Household
Your answer
Grade of student (2)
Name of Student (3)
List Names of all Students that Attend Andalusia in your Household
Your answer
Grade of student (3)
Name of Student (4)
List Names of all Students that Attend Andalusia in your Household
Your answer
Grade of student (4)
Name of Student (5)
List Names of all Students that Attend Andalusia in your Household
Your answer
Grade of student (5)
Name of Student (6)
List Names of all Students that Attend Andalusia in your Household
Your answer
Grade of student (6)
Transportation Information
Check the Mode of Transportation that You Use to Transport Your Children *
Check all that apply
Required
Check here if you do not use bussing and are interested.
If Yonkers Bussing, please indicate Pick-Up Location:
Your answer
If using Andalusia School Bus, please indicate Pick-Up Location:
Your answer
If car pooling with friend / relative, indicate name and mobile # here:
Your answer
If using a private operator / driver, indicate name here:
Your answer
If children walk or take public bus, please give oldest child's name and mobile # here:
Your answer
Electronic Signature and Initials of Parent: *
I have completed this survey completely and accurately.
Your answer
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