Brenham ISD Bus Registration / Formulario de inscripó de autobús
ONE STUDENT PER FORM (Fill out completely) / un estudiante por forma (llene completamente)

After you submit this form, call Durham Transportation at 979-277-0090 to find out your child's bus number.

Student Information
La información del estudiante
Student ID Number / Número de identificación del estudiante *
Your answer
Student Last Name / Apellido del estudiante *
Your answer
Student First Name / Nombre del estudiante *
Your answer
Date of Birth / Fecha da nacimeinto *
MM
/
DD
/
YYYY
Physical Address (NO PO Boxes) / Dirección física (NO PO Boxes) Please make sure this matches what is on file at your child's school. *
Your answer
Please use official road names. Washington County Road List may be found at this link: https://docs.google.com/spreadsheets/d/1KUo2cwu5VuLjiOh7N5Rr4am3uoL-m4_xLN-TLxCamuI/pubhtml?gid=1411863271&single=true
Apt. #
Your answer
City / Ciudad *
Zipcode *
Your answer
Home Phone / Teléfono de casa *
Your answer
What campus does this student attend? / Escuela? *
Grade Level *
Will your student require a Special Needs bus? / ¿Su estudiante requiere un bus necesidades especiales?
Will your child need an Alternate Afternoon Drop Off Location?
Please indicate below.
Alternate Afternoon Drop Off Address (Click the arrow for locations.) / Dejar dirección
On what days will the student be dropped off at alternate location? Mark all that apply.
Does your student have any medical conditions the driver should know about?
Cualquier información especial que desea que sepamos
Your answer
Parent/Guardian Information
Información a los padres

All contact information is REQUIRED - Please enter NA if no information is available. Please make sure all emergency contact information is updated at your child's school.

Email Address *
Your answer
Guardian / Parent First & Last Name / Guardián / Padre Nombre y apellido *
Your answer
Home Phone / Teléfono de Casa *
Your answer
Work Phone / Trabajo
Your answer
Cell Phone / Celular
Your answer
Please write additional comments in the space below. / Por favor escriba comentarios adicionales en el espacio siguiente .
Your answer
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