Please complete ONE FORM PER STUDENT for the 2021-2022 school year.

~To be completed for ALL K-12 students requiring transportation.
~GSRP and ECSE student requests go through Model Elementary.
~Please ONLY complete if you are planning to use transportation.
~We are not accepting requests for students with two different stop locations.
~Each student will only be assigned one (1) stop location.
~Students are only permitted to ride the bus to and from their assigned stop location.

You will receive your students busing information before the start of the school year.
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E-mail Address *
Student Last Name *
Student First Name *
Student Grade *
Student School *
Home Address (will be confirmed with address on file in PowerSchool) *
Requested stop address ONLY IF different from home address
Please list the best phone number to be reached at *
Please list additional phone number to be reached *
I acknowledge I have read and understand the transportation rules and guidelines for the school year. In addition, I acknowledge that failure to follow these rules will result in disciplinary actions up to and including bus privileges being revoked. PARENT SIGNATURE BELOW. https://www.lincolnk12.org/our-district/transportation/student-and-parent-responsibilities/ *
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