LINDENHURST UFSD
APPLICATION FOR NON-PUBLIC TRANSPORTATION & TEXTBOOKS - SCHOOL YEAR 2020-2021
Email address *
Non-Public Schools - Transportation/Textbook Application SY 20-21
SCHOOL YEAR 2020-21
* This Application must be filled out no later than April 1st 2020.

* Please submit a separate application for each student.

* No proof of Residency required for returning students.

* Hit the "Send a copy of my responses" tab at the bottom of page and an email confirmation copy will be sent to you.

NEW ENROLLMENTS - Must apply in-person at:
McKENNA BUILDING
350 DANIEL STREET
LINDENHURST, NY 11757
ROOM 101
For necessary documentation, please refer to Non Public New Enrollment Section under Transportation Tab on the District Website www.lindenhurstschools.org

Student's Last Name: *
Student's First Name *
The student is: *
Last School Attended in School Year 2019-20 *
School Attending in School Year 2020-2021 *
Parent/ Guardian Name *
Contact Phone # *
Home Address *
Has there been a change in home address since last school year? *
Emergency Contact *
Emergency Phone Number *
Student Date of Birth *
MM
/
DD
/
YYYY
Student's Grade as of September 2020 *
School Address *
School Contact # *
* Late Buses will be available to Schools that offer a late pick up by calling the Transportation Department before 10:00 a.m. the day of. Please call (631) 867-3050.
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