2019-20 SCHOOL BUS ROUTE TRANSPORTATION REQUEST & SIGN-UP
This form should be used to sign your child up for school bus service.

(a) Please submit ONE FORM per child as we cannot process forms which include multiple children.

(b) We do not carry over bus rider sign-ups from year-to-year, so even if your child rode the bus last year, you MUST still sign him or her up to ride it again this year.

(c) Students who are signed up for bus service will receive priority over students who are not, if capacity becomes an issue.

(d) We cannot guarantee that we will have sufficient space on our buses to accommodate all students who wish to use school transportation.

(e) We must have clear and concise information specifying ON WHAT DAY your student will begin to ride the bus HOME from school, so be sure to answer that important question below!
Email address *
Student's Name (Only ONE per form permitted) *
Your answer
Student's Grade *
Your answer
Student's Teacher's or Advisor's Name *
Your answer
Parent/Guardian Contact Name(s) *
Your answer
Parent/Guardian Work and Cell Phone Number(s)
Please indicate "w" or "c"
Your answer
Emergency Contact Name (if we can't reach you) *
Your answer
Emergency contact Work and Cell Phone Number(s) *
Please indicate "w" or "c"
Your answer
Parent/Guardian Email Address(es) *
Your answer
MORNING Bus Route *
MORNING STOP: ORANGE I *
MORNING STOP: ORANGE II *
MORNING STOP: PITTSBORO *
AFTERNOON BUS ROUTE *
AFTERNOON STOP: ORANGE I *
AFTERNOON STOP: ORANGE II *
AFTERNOON STOP: PITTSBORO *
My child will start riding the bus TO SCHOOL on: *
My child will start riding the bus HOME FROM SCHOOL on: *
My child's AM bus riding schedule will be: *
My child's PM bus riding schedule will be: *
Please indicate any stop(s) you'd like us to consider adding to our routes.
Your answer
Family Agrees to Abide by Bus Rider Rules
A copy of the bus rider rules is available in the front office. All bus riders are required to adhere to these rules, and we reserve the right to remove any students who display an unwillingness or inability to follow the rules from the list of approved bus riders to ensure the safety of the remaining riders.
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