Bus Registration Form 2019/20
Please fill out the form below if your child will be riding the bus any during the 2019/20 school year. This form will need to be filled out for each child.
Email address *
Students Last Name *
Your answer
Students First Name *
Your answer
Today's Date *
MM
/
DD
/
YYYY
Grade Level *
Primary Bus Stop *
Alternative Bus Stop
Alternative Bus Stop 2
If you selected more than one bus stop please provide us with a short description of when you will use the other bus stop(s). (If not put N/A) *
Your answer
1. Parent/Guardian Name *
Your answer
1. Parent/Guardian Phone Number *
Your answer
1. Parent/Guardian Additional Phone Number
Your answer
2. Parent/Guardian Name
Your answer
2. Parent/Guardian Phone Number
Your answer
2. Parent/Guardian Additional Phone Number
Your answer
Alternative Contact Name *
Your answer
Alternative Contact Number *
Your answer
I have read and understand the LLCA Bus Conduct Pledge. *
Required
Any special notes or comments that you would like for us to be made aware of?
Your answer
Submit
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