Town Stop Request Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The town route will run just like a rural route and only allow students to ride who live on that specific route. The town route will need to be dedicated to consistent riders as seats will need to be assigned.
Please complete if your student will be on a town route on a regular basis. Once a student is signed up on a route there will be assigned seats and can not change or make substitutions.

La ruta de la ciudad se ejecutará como una ruta rural y solo permitirá a los estudiantes que vivan en esa ruta específica. La ruta de la ciudad deberá estar dedicada a los pasajeros consistentes, ya que será necesario asignar asientos.
Por favor complete si su estudiante estará en una ruta urbana de forma regular. Una vez que un estudiante se inscribe en una ruta, se le asignarán asientos y no podrá cambiar ni hacer sustituciones.

Email *

Parent's Name / Nombre del Padre *

Home Address / Dirección *

Phone # / Número de Tel.

Student Name(s): / Nombre del Estudiante(s): *

Select Route / Seleccione la Ruta *

A1 16th& Wellington Pick up at 7:15 AM;

A2 16th & Douglas Pick up at 7:18 AM;

A3 13th & Grant Pick up at 7:21 AM;

A4 W 11th & Bluestem Pick up at 7:26 AM;

A5 W 11th & Max Dr. Pick up at 7:28 AM;

B1 9th & Douglas St. Pick up at 7:31 AM;

B2 5th & Douglas St. Pick up at 7:33 AM;

B3 3rd & Wellington St Pick up at 7:35 AM;

B4 3rd & Holland St. Pick up at 7:38 AM;

Required

My Child(ren) Will Ride / Mi Hijo(a) Viajara en:

Both AM & PM

Clear selection

Note:

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Chase County Schools. Report Abuse

Forms