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KIPP BCA: Transportation Registration
This form will be used by KIPP Kax families to register for transportation or make any changes to their transportation assignments.
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* Indicates required question
Parent /Guardian name (First and Last name)
*
Your answer
Parent/ Guardian Email
*
Your answer
Home Address (must be same as in student's Focus account)
*
Your answer
Student name (First & Last name)
*
Your answer
Student ID Number
Your answer
Student current grade level
*
Kindergartner - KINDER FORM MUST BE ON FILE @ SCHOOL BEFORE STUDENT MAY RIDE
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eight Grade
Parent Phone number
*
Your answer
Choose a Bus Stop
*
6085 Van Gundy Rd & Winton Drive ( Van Gundy Food Mart)
6085 Avenue B & Edgewood Ave. (Aldis Super Market)
6078 Banner Food Store
6076 Roses @ Soutel & Lem Turner
6076 Portsmouth & Waynesboro @ Lewis Cobb Community Center
6076 Hull St. & Moncrief Ave. (@ at the corner)
6077 48th & Main (@ Harveys Parking Lot)
6077 4th and Davis
6084 2nd & Tyler St @ New Bethel AME Church
6078 13th & Pullman Ave (Near Susie Tolbert)
6078 Division & 18th
6084 1214 Labelle St @ Valencia Way Apts
6086 Robert St & Verna Blvd-Lem Merrett Park
6084 Edison Ave & Hermes St. (Near Pinedale)
6086 One Heart Church (Old Middleburg Rd & Fouraker)
6086 Hyde Grove (Lane & Wiley Rd)
6076 Roses@ Soutel & Lem Turner
6085 Cornerstone Plaza (Palmdale & Lem Turner)
6064 Ray Greene Park 2149 Leonid Rd
6064 Family Dollar Renaissance Plaza North, 10696 Lem Turner Rd
6077 Dallas Graham Library (13th & Myrtle)
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How often will your studen need the bus?
MTWTF
Wednesday Only
AM Only MTWTF
PM Only MTWTF
Wednesday AM Only
Wednesday PM Only
For the 25-26 SY are you a returning KIPP student?
*
Yes. I attended KIPP Jax last year and will attend again for 25-26.
No. This is my first year attending KIPP.
I didn't attend last school year, but attended in prior years.
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