Emergency Bus Request Form
Nekoosa School Board and Safeway Bus Company policy states that, “Pupils shall ride assigned buses. Pupils will board and disembark from their assigned bus at selected designations. A written request from the parent and permission granted by the building principal must be submitted by the school to Safeway Bus Co. if a student is to be picked up or dropped off at a location other than their regular stop. Students will not be allowed to ride a bus other than their assigned bus unless it is an emergency, and written permission is granted by the principal.

Parents will assume responsibility for the child when such a request is made and granted. Request for permanent changes in bus assignment must be made in writing to the District Administrator.”
Email address *
Child(ren)'s Names and Grade Levels this Request Affects *
Your answer
Current Street Address *
Your answer
Parent's Name *
Your answer
Home Phone Number *
Your answer
Parent's Work Phone *
Your answer
Regular Assigned Bus Number *
Your answer
Emergency Drop Off Address *
Your answer
Name of Resident at Emergency Drop Off Address *
Your answer
Emergency Bus Route Number if Known
Your answer
Date Change is To Start or Dates Needed *
Your answer
Route Affected *
Date of Request *
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DD
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YYYY
This request is pending Principal and Safeway Bus Company approval.
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