School Activity Bus Request Form

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Email *

Vehicle You Are Requesting *

Activity Bus- 14 passengers plus driver

School Van- 9 passengers plus driver

School Van - 6 passengers plus driver

Date of Bus Usage *

YYYY

If this is an overnight trip please list the date vehicle will be returned.

YYYY

Name *

Organization *

Leaving Time *

Time

Returning Time *

Time

Purpose *

Destination *

Estimated Mile of Trip/Meeting (round trip-there and back) *

Will you be transporting students? *

Yes

Please initial that you understand the use restrictions of the vehicle. *

Please initial that you understand you must complete the trip report, beginging and ending mileage. *

Please initial that you understand you must bring back the vehicle full of gas. *

Please initial that you understand you must lock the rear door on the bus. *

Please initial that you understand pick up times are between 6:00am and 2:30pm. *

A copy of your responses will be emailed to the address you provided.

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