Tallmadge City School District
Email address
Alternate Bus Request Form (Must Be Submitted Each School Year)
This form is to be completed by the custodial parent or legal guardian of a Tallmadge City School District student who is requesting a pick-up or drop-off point, which is different from the student's Home address. TO ASSIST THE SAFETY/SECURITY OF YOUR CHILD, TELEPHONE REQUESTS CANNOT BE ACCOMODATED.

Requests for alternate school bus transportation must be for a minimum of (5) five consecutive school days with pick-up and drop-off points limited to the same location(s). ALTERNATE PICK-UP AND DROP-OFF POINTS ARE LIMITED TO TALLMADGE CITY SCHOOL DISTRICT BOARD OF EDUCATION APPROVED DESIGNATED BUS STOPS. A MAXIMUM OF (2) ALTERNATE BUS CHANGES PER SCHOOL YEAR WILL BE PERMITTED.

IF APPROVED, THE REQUESTED CHANGE WILL BECOME EFFECTIVE TWO SCHOOL DAYS FROM THE DATE THIS COMPLETED REQUEST IS RECEIVED AND APPROVED BY THE TRANSPORTATION SUPERVISOR. APPROVED BUS ROUTE CHANGES REMAIN IN EFFECT FOR THE STATED PERIOD UNLESS ANOTHER ALTERNATE BUS ROUTE REQUEST FOR IS SUBMITTED BY THE CUSTODIAL PARENT/GUARDIAN AND APPROVED BY THE TRANSPORTATION SUPERVISOR.

Full Name of Custodial Parent/Guardian
Your answer
Student's Full Name
Your answer
Student's Grade
Building student attends
Home address
Your answer
Requested A.M. pick-up address AND phone number
Your answer
Requested P.M. drop-off address AND phone number
Your answer
Alternate Bus Route Begin Date
MM
/
DD
/
YYYY
Alternate Bus Route End Date (must be at least five days later than begin date)
MM
/
DD
/
YYYY
Home Phone
Your answer
Emergency Phone
Your answer
A.M. Alternate Phone (Daycare or Babysitter)
Your answer
P.M. Alternate Phone (Daycare or Babysitter)
Your answer
Reason for Request
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Tallmadge City Schools. Report Abuse - Terms of Service - Additional Terms