BGP Bus Stop Release Form

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In order to ensure the safe return of your child from school, please complete this form. The chosen procedure will also be used for unscheduled early dismissals unless you indicate differently.

Please select the correct academic year for which this request will be applied *

2025-2026

2026-2027

Last name of the student

First name of the student

Please specify your request below:

I would like my child to be released from the bus without an adult present

Clear selection

Please DO NOT fill out the following section if your child has permission to get off the bus without an adult present:

Please check below to confirm your preference

I will have a responsible adult present at my child’s bus stop when s/he is released from the bus. List additional adults to whom your child may be released below. These spaces should be blank if question #1 above is checked.

Adult responsible for student #1:

Adult responsible for student #2:

Adult responsible for student #3:

Adult responsible for student #4:

Adult responsible for student #5:

If indicated that I will be present at my child’s bus stop and I am not, it is understood that my child willbe returned to school where I will be requested to pick him/her up.

Yes, I understand.

No (please note - we cannot process this request if you do not confirm you will be present)

Please type your name below - this will serve as your digital signature:

Date

YYYY

Submit

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