Annville-Cleona School District Non-Public Transportation Request Form
In order to receive transportation for your student, this form will need to be filled out in its entirety and submitted annually (one student per form). 

For transportation to be guaranteed for the first day of school, this form needs to be filled out by August 14th, 2025. Details of transportation will be emailed/mailed out to you sometime in August. For students requesting transportation after August 14th, transportation may have to be provided after the first week of school (after your school year has started). IF THIS FORM IS NOT FILLED OUT, it will be understood your student does not need transportation for the entire 2025-2026 school year and WILL NOT be assigned.

As a reminder, only students in Kindergarten - 12th grade will be provided transportation.

For any changes throughout the school year, please fill out this form and then contact us at rlessing@acschools.org

Thank you for helping to keep our buses safe and our rosters current!
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Email *
Requesting for: *
Student's First and Last Name *
School of Attendance *
School (if not listed above)
Student's Birthday *
MM
/
DD
/
YYYY
Grade (25-26) *
Home Address (include city and zip code) *
Parent/Guardian 1 Full Name *
Parent/Guardian 1 Contact Number
(ex. 717-123-456)
 *
Parent/Guardian 1 Email Address *
Parent/Guardian 2 Full Name
Parent/Guardian 2 Contact Number
(ex. 717-123-456)
Parent/Guardian 2 Email Address
Emergency Contact Name *
Emergency Contact Phone Number
(ex. 717-123-456)
 *
Please indicate the transportation needs for your student below. *
Will your child be transported to their home address listed above or will they be transported to caregiver's residence?
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