After School Activities Bus Permission Form
By signing this form, I grant permission for my (child, children) to take the Beyond School Hours Bus. I also understand that if I request transportation services, my (child, children) will be transported from Mt. Hebron to a designated “collector” bus stop. The bus will pick students up from school approximately at 4:10pm, and will drop them off shortly after. I also understand that I am responsible for making arrangements to retrieve my (child, children) from the collector bus stop. Any student wishing to take the bus must have this permission form completed.

Bus Dates:
September: 24, 26
October: 1, 3, 8, 10, 15, 17, 22, 24, 29, 31
November: 5, 7, 12, 14, 19, 21
December: 3, 5, 10, 15, 17, 19
January: 2, 7, 9, 14, 16, 21, 28, 30
February: 4, 6, 11, 13, 18, 20, 25, 27
March: 3, 5, 10, 12, 17, 19, 24, 26, 31
April: 2, 14, 16, 21, 23, 30
May: 5, 7, 12, 14, 19, 21, 26, 28

Bus Stops:
** Pick up at MTH @ 4:10pm
-Maple Rock Dr and East Stayman Dr
-Hollifield Station ES
-High Ridge Rd and Rosemar Dr
-Town and Country Blvd and West Springs Dr
-Wheaton Way and Normandy Woods Dr
-George Howard Building – 3430 Court House Dr
-Worthington ES
Student Name *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Second Emergency Contact Name *
Your answer
Second Emergency Contact Phone Number
Your answer
Parent/Guardian Electronic Signature *
Your answer
Submit
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