UCFSD Request for Transportation
2018-2019 School Year
In accordance with PA Act 372, Unionville-Chadds Ford School District will provide transportation to non-public schools that are within 10 miles of the UCF boundaries. We request a separate form for each student requesting transportation. Please remember to hit the submit button at the bottom of this form once the form has been completed. You will receive an e-mail confirmation that the form has been submitted to our transportation office.

You must submit this form for EACH student in your household.

School Name *
If other, indicate name of school:
Your answer
Grade *
If other, indicate grade:
Your answer
Student's Last Name *
Your answer
Student's First Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Physical Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Home Phone Number (format: 000-000-0000) *
Your answer
Primary Parent/Guardian (format: Last, First) *
Your answer
Primary Phone Number (format: 000-000-0000) *
Used to communicate a weather event or a change in schedule
Your answer
Primary E-mail Address *
Your answer
Secondary Parent/Guardian (format: Last, First) *
Your answer
Secondary Phone Number (format: 000-000-0000) *
Your answer
Secondary E-mail Address
Your answer
My child will... *
Special Instructions/Circumstances
Student requires special transportation for medical or other documented reason
Your answer
Start Date
Please select the date you would like transportation to begin if filed mid-year
MM
/
DD
/
YYYY
Emergency Contact (format: Last, First) *
Your answer
Emergency Contact Phone Number (format: 000-000-0000) *
Your answer
Please select enrollment status: *
District Contact Information
Unionville-Chadds Ford School District Transportation Department
Marie Wickersham, Supervisor of Transportation
Marilyn Causey, Transportation Manager

132 E Doe Run Road
Kennett Square, PA 19348
610-347-0804
transoffice@ucfsd.net

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