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2024-'25 Student Transportation Request Form
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* Indicates required question
Email
*
Your email
Student's first name (Primero del estudiante Nombre)
*
Your answer
Student's last name (último estudiante Nombre)
Your answer
Are you a new student to the district? (¿Eres un estudiante nuevo en el Distrito?)
*
Choose
Yes (Si)
No
Which school will your student be attending? (Nombre de la Escuela)
*
Choose
Brookings High School (grades 9-12)
Mickelson Middle School (grades 6-8)
Camelot Intermediate (grades 4-5)
Dakota Prairie Elementary (grades K1-3)
Medary Elementary (grades K1-3)
Hillcrest Elementary ( grades K1-3)
Student grade for the 2024-'25 school year? (Grado a la que asistirá el estudiante)
*
Your answer
Parent's name (Nombre del Padre/Encargado)
*
Your answer
Home address? (Dirección)
*
Your answer
Primary Contact phone number for parent/guardian? (Número de Teléfono)
*
Please add phone in number in (xxx)xxx-xxxx format.
Your answer
Secondary Contact phone number for parent/gaurdian? (Número de Teléfono) (
optional)
Your answer
AM Pick up Address (Dirección en la que se recogerá al estudiante en la mañana.)
*
Your answer
PM Drop off Address (Dirección en la que se recogerá al estudiante en la tarde.)
*
Your answer
Which days would you like transportation? Monday-Friday (list days) (¿Cuáles días le gustaría tener transportación? Lunes – Viernes (lista de días)
*
Your answer
Date for transportation to begin? Allow one week before start date. (Fecha en la que la transportación comienza. Permita una semana antes de la fecha de inicio)
*
Your answer
Does your child already ride a bus? (Actualmente, ¿su hijo(a) toma el autobús escolar?
*
Choose
Yes (Si)
No
If so, which bus? (¿Cuál autobús?)
Your answer
Is this a permanent or temporary request? (¿Es esta una petición parcial o permanente?)
Permanent (Permanente)
Temporary (Temporero)
Clear selection
If temporary, complete this section. Enter start and end date. (Si es una petición temporera, completa esta sección. Fecha -Fecha de Comienzo & Fecha de terminación)
Your answer
Are there any health concerns/allergies that we should be aware of? (
¿Existe algún problema de salud o alergia que debamos tener en cuenta?)
*
Your answer
A copy of your responses will be emailed to the address you provided.
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This form was created inside of State of South Dakota K-12 Data Center.
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