2018-19 Buckeye High School/MCCC (Shuttle) Transportation Request/Change Form
(DO NOT COMPLETE IF YOU ARE TRANSPORTING YOUR CHILD TO AND FROM SCHOOL EACH DAY)

At least a five to seven day notice must be given for requests/changes. Emergency requests will be handled with a bus pass issued by the building principal. Requests must be for five days per week to the same address. Day to day changes will not be permitted. Routes will not be changed to accommodate requests. Requests will be handled in the order received.

Excluding MCCC Shuttle students, High School students who receive a seat on a bus, but do not ride for 10 consecutive days will be removed from the route in order for that seat to be given to a student on the waitlist.

Email address *
Reason for Transportation Request *
Student's Full Name (First and Last) *
Your answer
Date of Birth *
Your answer
Grade *
School of Attendance *
Home Street Address *
Your answer
City *
Your answer
Zipcode *
Parent/Guardian Name *
Your answer
Primary Contact Phone Number *
Your answer
Allergy or Medical Condition? Please Describe
Your answer
Student Carries an: *
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