Rocky Hill Public Schools Change of Student Bus Routine Form 2019-2020 School Year
Central Registration Office Information:
Mr. Thomas Kennison, M.S.A., M.B.A.
Registration/Residency Officer
761 Old Main Street, Suite 231 (Town Hall)
Rocky Hill, CT 06067
Phone: (860) 258-7701 Ext. 1177
Fax: (860) 258-7710
Email: kennisont@rockyhillps.com
Instructions:
This form is for "changing student's bus routines only". If your student's bus routine is the same as the previous school year, you need not do anything here.

Please note - If you are using Kidslink program at Stevens or West Hill, simply select parent drop-off or pick-up.

Please fill-out one form for each student.

Please read: Due to the large volume of last minute bus changes in previous school years (i.e., daycare, address changes, etc.) bus change requests submitted to Central Office between August 12, 2019 and September 6, 2019 will not be implemented until September 9, 2019.

From September 9, 2019 onward, bus change requests will take up to 3 school days to take effect after submitting to Central Office. New stops take no less than 3 school days to take effect. Existing stops take 1-3 school days, depending on volume of changes. Please plan your students transportation needs accordingly.

Student Information:
Student's Full Name *
Your answer
Student's Date of Birth *
MM
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DD
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YYYY
Student's Address *
Your answer
School (Please select one) *
Grade (Write in grade number): *
Your answer
Bus Pick-up/Drop-off Details:
Please provide information on how your student will get to and from school.
Date Bus Change Begins? *
MM
/
DD
/
YYYY
How will your student will arrive to school? *
How will your student will arrive home? *
Daycare Information (If applicable):
Please provide information on your student's daycare if applicable.
Name of Daycare Provider
Your answer
Daycare Address
Your answer
Daycare Phone (XXX-XXX-XXXX)
Your answer
Parent Signature and Contact Info:
Parent Email Address *
Your answer
Parent Best Contact Number *
Your answer
Electronic Signature of Parent or Legal Guardian *
Your answer
Date: *
MM
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DD
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YYYY
Submit
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