LJH Transportation Change Request
Please complete this form if your child needs any kind of transportation change. All changes MUST be received before 2:00 p.m.
I am aware that this change will not be processed if received after 2 o'clock p.m. *
Date of Change Request *
Your answer
Student's Name *
Your answer
Teacher's Name *
Your answer
Current Method of Transportation *
New Method of Transportation *
Current Bus# *
Your answer
New Drop-off Location Address *
Your answer
Drop-off Location: Relationship to Student *
Phone Number *
Your answer
Signature (This digital signature is the equivalent of a handwritten signature and acknowledges informed consent by the signer.) *
Your answer
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