Daily Afternoon Transportation Change Request (Solicitud de cambio de transporte diario por la tarde)
Please fill out a form for each child.
Requests must be completed before 1:30 PM on the date of the change.
For 1/2 days, this form must be completed by 3:00 the day before the 1/2 day.
formulario para cada niño. Las solicitudes deben completarse antes de las 13:30 h del día del cambio. Para 1/2 día, este formulario debe completarse antes de las 3:00 del día anterior al 1/2 día.
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Email *
Name of parent or guardian (nombre del padre)
Date the transportation change is needed (fecha de cambio de transporte) *
MM
/
DD
/
YYYY
Phone Number of Person Making Request (numero de telefono de la persona hacienda cambio) *
Student's First and Last Name (nombre y apellido del estudiante) *
Teacher's Last Name ONLY (Indicate Homeroom Teacher for Grades 2-5) (apellido de la maestra indique homeroom para grados 2-5) *
Grade (grado) *
Transportation Change (ca,bio de transporte) *
If car rider, who is picking up? (Must be authorized to pick up) si sera recogido por camo quien lo recogera (debe de estar autonzado para recoger) *
If car rider, what is the student's car rider number?  Si viaja en automóvil, ¿cuál es el número de viajero en automóvil del estudiante?
I am the legal parent/guardian of this child and all information is true and accurate. (soy el tutor legal de este nino y toda la informacion es verdadera y precisa) *
Required
I have contacted Kids Plus, Day Care provider or Boys and Girls Club, etc. prior to completing this form. (me ha puesto en contacto con Kids Plus, la guardena o el clubde ninos y ninas antes de completar esta formulano)
A copy of your responses will be emailed to the address you provided.
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