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2021-22 Transportation Signup Form
After reading the attached letter from our bus companies, please complete this form to signup for transportation this fall.
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* Indicates required question
Email
*
Your email
Which Bus Company do you Utilize (if known)
Palmer Bus Service
Lenz Bus Service
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Student(s) Information-Please Enter your Child(s)' First and Last Name, Grade, and School They will Attend
*
Your answer
Family Information-Please enter physical home address
*
Your answer
Is this an address change?
Yes
No
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If this/these student(s) has/have split households, please enter the additional address
Your answer
Parent(s) Name and Work/Cell/Home Phone
*
Your answer
Emergency Contact Name and Phone Number
*
Your answer
Will your student be attending a childcare program?
*
Yes
No
If yes, please enter the address and phone of the provider.
Your answer
Please verify that you understand the school bus rules and expectations-Contact Lenz or Palmer Bus with any questions.
*
Yes, I understand
Required
Send me a copy of my responses.
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