Change of Elementary School Request
Please Note - Approvals are based on grade level enrollment and requests must be made on an annual basis. If your request is approved, transportation will be available to and from child care only, otherwise you will be responsible for transporting your child to and from school. Buses do not cross elementary zones.
School Year *
Student Name *
Grade (For School Year of Request) *
Parent/Guardian Name *
Parent/Guardian Address *
Parent/Guardian Home Phone
Parent/Guardian Cell Phone
Parent/Guardian E-mail *
Childcare Provider Name
Childcare Provider Address
Childcare Provider Home Phone
Childcare Provider Cell Phone
School of Official Attendance *
Requested School *
Please give a brief explanation of the reason for this change: *
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