2019-20 Holland Christian South Side Student Transportation Registration Form
Please complete this form by June 1, 2019.
Parent/Guardian First Name: *
Your answer
Parent/Guardian Last Name: *
Your answer
Cell Number: *
Your answer
Additional Parent/Guardian First Name:
Your answer
Additional Parent/Guardian Last Name:
Your answer
Additional Cell Number:
Your answer
Home Address: *
Your answer
Home Address Cont'd:
Your answer
City, State, Zip: *
Your answer
Family Email Address *
Your answer
If a church or bus society will be helping to pay all or a portion of your busing bill, please list the church or society name here:
Your answer
Student First Name: *
Your answer
Student Last Name: *
Your answer
Grade: *
Pick-up Location: *
Drop-off Location: *
Should the driver be aware of any health concerns of your student(s)?
If yes, please list here. (If no, please leave blank.)
Your answer
Additional Notes
Your answer
Do you have another student requiring transportation? *
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