MMLA 2020-21 Bus Sign Up Form
Complete one form per child.
Email address *
Student Information
Please complete one form per child.
Student First Name *
please enter your child's LEGAL first name (not a nickname).
Student Last Name *
please enter your child's LEGAL last name.
Grade *
Date of Birth *
MM/DD/YYYY
Bus Stop Address
For most people this is their home address but it may be another location if your child receives morning or afternoon care outside the home.
*If you need to make changes to your mailing address with the school this form WILL NOT update your mailing address for report cards, etc. You will need to contact the main office directly to make those changes. Call 517-485-5379 for more information.
Street Address *
City *
Zip Code *
Emergency Contacts
Emergency Contact #1 *
Full Name of Contact
EC #1: Relationship to Student *
EC #1: Phone Number *
Include area code with phone number (10 digits) no special characters or spaces allowed.
EC #1: Alternate Phone Number
Include area code with phone number (10 digits) no special characters or spaces allowed.
Emergency Contact #2 *
Full Name of Contact
EC #2: Relationship to Student *
EC #2: Phone Number *
Include area code with phone number (10 digits) no special characters or spaces allowed.
EC #2: Alternate Phone Number
Include area code with phone number (10 digits) no special characters or spaces allowed.
Statements of Understanding
Below please read the statements and type YOUR FULL LEGAL NAME as the parent/guardian of the child that you agree to each statement.
Behavior Rules & Expectations *
Riding the School Bus is a privilege and not a right. I understand that my child(ren) must follow the rules and behavior expectations set by the school and the bus driver while riding the bus and at the bus stop. Failure to follow rules may result in loss of transportation privileges.
Bus Stop Location and Limitations *
I understand that completing this form does not guarantee a spot on the school bus. MMLA and Dean Transportation will do our best to get every student needing transportation on a bus route, however, spots are limited. Due to this, addresses requesting a stop within a half mile of the school will not be considered for receiving transportation.
COVID-19 Expectations *
I understand that my child must wear a mask covering their face and nose during the entirety of their bus ride. Failure to follow this policy may result in loss of transportation privileges. Students arriving to school that do not pass the screening checkpoint including the temperature check will need to be picked up by a parent/guardian and will not be transported back home via the school bus.
Digital Signature *
Please write your full name below if you attest that the above answers are true and correct to the best of your knowledge:
A copy of your responses will be emailed to the address you provided.
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