Transportation Request Sign Up Form
Please fill out the following form if you intend on having your child use School Transportation before or after the school day.
Student's Full Name: *
Students Nickname:
Students Date of Birth ( MM/DD/YYYY) *
Student Grade Level *
Mailing Address: *
Home Phone Number *
Parent/ Guardian Email Address: *
Parent/Guarding #1 Name *
Parent/Guardian #1 Contact Phone Number:
Parent/Guardian #2 Name
Parent/Guardian #2 Contact Phone Number
Relationship to student Contact #1 *
Relationship to student Contact #2
Emergency Contact Name *
Emergency Contact Phone Number *
Are there any allergies or any important information we should know about your child?
Morning Pick Up Address *
Drop Off Address: *
Early Release Drop Off Address *
It is Winlock School Districts policy not to drop students under third grade off without an authorized person visibly there to pick them up at their stop, the parent or guardian may give permission for them to be dropped off with older siblings of at least 13. If there is no one there to receive your child they will be brought back to the school. If students are brought back to the school they will need to be picked up immediately since there will not be any staff available for child care. (When students are brought back to school and emergency contacts are not readily available; outside public agencies may be called.) If a change in drop off location is needed please contact the transportation department by 1:00 p.m. on or before that day. My child under third grade has permission to be dropped off with an older sibling of 13 or older at their authorized stop.
By Checking the Box below, you are authorizing your child under third grade has permission to be dropped off with a sibling of 13 or order at the authorized stop.
Clear selection
Should you not want your child of any aged dropped off without an authorized person to pick them up, we will not drop them off.
By Checking the Box below, you are authorizing that you do not wish for your child to be dropped off without an authorized person waiting at their stop.
Clear selection
I wish for my child third grade or older to be dropped off without an authorized person at their stop.
Clear selection
Thank you for submitting the transportation request form. A representative from the transportation department will reach out to you shortly. Thanks!
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