Student Transportation Note
Bus transportation is provided for your child/children. Our goal is to ensure that every child gets to his/her destination safely every day. To do that we need your help. Please fill out the form below in order to provide clear instructions for your child's after school activities. You are always welcome to call or email if you need to. Contact Dona Culver at 244-6100 or
Please No Bus Notes after 2pm
If you have an emergency change in plans please call the school directly.
Child's First Name
Child's Last Name
First and Last Name of Person Completing Note
Date of Note
Reason for Note
being picked up
Waterbury Public Library
Family Physical Therapy
Staying After School W/Teacher
Person Picking Student Up
Time Student is to be Dismissed
Bus Number Student Will Ride On
Address for bus stop
Is this a Re-Occurring Event
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