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TIS Bus Stop Release Form
In order to ensure the safe return of your child from school, please complete this form. The chosen procedure will also be used for unscheduled early dismissals unless you indicate differently.
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* Indicates required question
Please select the correct academic year for which this request will be applied
*
2023-2024
2024-2025
Other:
Last name of the student
Your answer
First name of the student
Your answer
Please specify your request below:
I would like my child to be released from the bus without an adult present
Clear selection
Please DO NOT fill out the following section if your child has permission to get off the bus without an adult present:
Please check below to confirm your preference
I will have a responsible adult present at my child’s bus stop when s/he is released from the bus. List additional adults to whom your child may be released below. These spaces should be blank if question #1 above is checked.
Adult responsible for student #1:
Your answer
Adult responsible for student #2:
Your answer
Adult responsible for student #3:
Your answer
Adult responsible for student #4:
Your answer
Adult responsible for student #5:
Your answer
If indicated that I will be present at my child’s bus stop and I am not, it is understood that my child willbe returned to school where I will be requested to pick him/her up.
Yes, I understand.
No (please note - we cannot process this request if you do not confirm you will be present)
Please type your name below - this will serve as your digital signature:
Your answer
Date
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