Authorization For School Transportation
Cassville R-IV School District
Email *
Name *
Sponsor or Coach
Destination *
Activity *
Date *
Date of the trip
MM
/
DD
/
YYYY
Day *
Day of the week
Departure
What time do you need to depart the school? (Your Driver will be waiting for you 5 minutes prior to this time.)
Time
:
Return
What time do you expect to return to the school?
Time
:
Loading *
Where will your group meet the bus?
Passengers *
What is the approximate number of students and adults?
Buses *
How many buses are you needing?
Required
Comments:
Use this section for any special instructions.  Example: Overnight trips, Accounting Codes, etc...
Approved *
Required
LUMEN Entry *
Required
A copy of your responses will be emailed to .
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