LIFT Transportation Request Form
When he or she attends the LIFT Program, will your child be transported to HOME or to DAYCARE?
Drop-off Address (if different than home address)
Which days of the week will your child require transportation?
STUDENTS MUST ADHERE TO WEEKLY SCHEDULE. ARRANGEMENTS WILL NOT BE MADE TO ACCOMMODATE RANDOM SCHEDULES.
My digital signature certifies that I am the parent/legal guardian of the above student and authorized to request transportation for my child.
Type your full name below to provide your digital signature.
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This form was created inside of North Rose Wolcott Central School District.