USD 309 Transportation Form (2016)
This form needs to be completed only if your child plans to ride the school bus. If a question is required to be answered on this form but does not apply to you, please type "NA" in the response. For questions about USD 309 transportation, please contact Roy Lewis, Transportation Director, at (866) 422-3191.
Date:
MM
/
DD
/
YYYY
1st Child (First Name, Last Name, School, Grade)
Your answer
2nd Child (First Name, Last Name, School, Grade)
Your answer
3rd Child (First Name, Last Name, School, Grade)
Your answer
4th Child (First Name, Last Name, School, Grade)
Your answer
Father/Guardian: (First Name, Last Name, Phone #)
Your answer
Father/Guardian Home Address:
Your answer
Mother/Guardian: (First Name, Last Name, Phone #)
Your answer
Mother/Guardian Home Address:
Your answer
Estimated number of miles you live from school:
Your answer
Describe location if on a rural route:
Your answer
Additional Information: Please note if school is dismissed early due to inclement weather, we need to know the location to take your child(ren). Please list any additional stops needed for this; however, it will have to be on the same bus route as we cannot change the student's assigned bus. Please know, video cameras are in use on school busses.
Your answer
Please provide any additional information you feel is pertinent to your child(ren) riding USD 309 school busses.
Your answer
Parent's Signature (please type in your name)
Your answer
Submit
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