Alternate Pick up or Drop Off Requests 2018-2019
Clarence Central School District Transportation Department
9825 County Road
Clarence Center, NY 14032
Phone 716-407-9500
Fax 716-407-9502

The school district will transport a child to an alternate drop off location only if it is located within the attendance area of the school the child attends. Transportation will only be provided upon receipt of this completed request. All requests are due by August 1 of the new school year. The parent or guardian must allow five (5)working days for approval and the start of service if received after August 1.

Please note the following:
1) The student must be eligible for transportation services and there must be an available seat on the bus.
2) The address must be within the attendance area of the child's school.
3) Arrangement MUST be five (5) days a week UNLESS it is on the same bus as home address.

Student Information
Student's Last Name *
Your answer
Student's First Name *
Your answer
Grade *
Your answer
School Attending *
Home Address *
Your answer
Home Phone Number *
Your answer
Alternate Phone Number
Your answer
Alternate Address
Time *
Required
Alternate Address *
Your answer
Adult Contact *
Your answer
Contact Phone Number *
Your answer
Effective Date *
MM
/
DD
/
YYYY
Comments
Your answer
Parent/Guardian Name *
Your answer
Today's Date *
MM
/
DD
/
YYYY
Email address *
Your answer
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