Transportation Change Request for Buffalo Lower Junior High (Grades 3-5)

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Please complete this form if your child needs any kind of transportation change. All changes MUST be received before 2:00 p.m. This form is not compatible with Internet Explorer and must be completed using Google, Safari, or Firefox.

I am aware that this change WILL NOT be processed if received after 2:00 p.m. *

Yes

Required

Date of Change Request *

Student's Name (Please Include Siblings if Applicable) *

Teacher's Name/Names *

Current Method of Transportation *

Bus Rider

Car Rider

New Method of Transportation *

Change Bus Route

DO NOT ride bus (Car Rider)

Current Bus# *

New Drop-off Location Address and/or Bus Number if known *

Relationship to Student for Drop-off or Car Rider Pick-Up *

Neighbor

Parent

Grandparent

Aunt or Uncle

Other:

Phone Number *

Signature (This digital signature is the equivalent of a handwritten signature and acknowledges informed consent by the signer.) *

Submit

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