RURAL BUSING REGISTRATION FORM
For all students requiring transportation to Wild Rose schools.

• Complete and submit the online application to register for student transportation.
• Your family will receive a telephone call from the bus driver or bus contractor to provide the pick up location, pick up time and the official start date for transportation.

APPLICATIONS RECEIVED DURING THE SUMMER MONTHS WILL NOT BE PROCESSED UNTIL AUGUST.

Please select appropriate school year
Parent / Guardian Information
Parent / Guardian 1 Name
Your answer
Relationship to student?
Home Phone Number
Your answer
Work Phone Number
Your answer
Cell Number:
Your answer
Email Address:
Your answer
Lives with child
Required
Parent / Guardian 2 Name
Your answer
Relationship to student
Home Phone Number
Your answer
Work Phone Number
Your answer
Cell Number:
Your answer
Email Address:
Your answer
Home Address Information
Please enter your street/house *number* only in the first box, and your street/Range Road etc. *name* only in the second box
911 / Locator / Street Address (number)
Your answer
Street / Road (name)
Your answer
Yes, my mailing address is the same as the above.
Mailing Address (if different):
Your answer
City:
Your answer
Postal Code
Your answer
Different pickup/dropoff from resident address
All students are permitted to have one pickup/dropoff location unless it is a split custody situation. If your student is accessing the bus at a location different than your residence, please enter the complete address below. You may be contacted for further information
Pickup/Dropoff Address (if different from resident address):
Your answer
Student Information:
School Name:
Grade:
Date of Birth (DD/MM/YYYY):
Your answer
Student Legal Last Name:
Your answer
Student First Name:
Your answer
Medical / Medication Information we may require:
Your answer
Emergency Contact Name 1
Contact needs to be available during busing times.
Your answer
Emergency Contact 1 Phone Number
Your answer
Emergency Contact Name 2
Your answer
Emergency Contact 2 Phone Number:
Your answer
The information on this form is being collected pursuant to the School Act and the Freedom of Information and Protection of Privacy Act. If you have any questions concerning the collection or use of this information please contact us at (403) 845-4255 or 1-866-445-4255.
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