*2019-2020* Lake Charles College Prep Bus Sign Up Form
*Please do not submit more than one request per student unless your address has changed.
Email address *
School Year *
Please select the school year that you are requesting transportation.
Parent or Legal Guardian Full Name *
Your answer
Student's First Name *
Please enter the student's legal first name (no nicknames).
Your answer
Student's Middle Initial (INITIAL ONLY)
Your answer
Student's Last Name *
Please enter the student's legal last name.
Your answer
Student's Date of Birth *
MM
/
DD
/
YYYY
Student's School Name *
Student's School Grade *
Please enter the student's grade level that will correspond to the school year selected above.
Student's Home Street Address (Primary) *
Please enter only the house # and street name only. DO NOT USE ANY PUNCTUATION.
Your answer
Student's Apartment or Unit #
Please enter the unit #.
Your answer
Student's Home City (Primary) *
Please enter the city of residence name.
Your answer
Student's Home Zip Code *
Please enter the zip code.
Your answer
Parent or Guardian's Main Phone Number *
Your answer
Parent or Guardian's Alternate Phone Number 1 *
Your answer
Parent or Guardian's Alternate Phone Number 2
Your answer
Request Type *
All students requiring bus transportation must register
Sibling Enrollment Status *
Will any siblings attend the same school? Please note a separate form must be submitted for each student that needs transportation.
Sibling Names
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
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