Application for Regular Education Transportation
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Important Information
Student's First Name *
Student's Last Name *
Street Address *
Apartment #
Primary Phone *
Example:  xxx.xxx.xxxx
Alternate Phone
Example:  xxx.xxx.xxxx
School *
Grade *
AM, PM, or Both Ways *
Requested Start Date
**ALL TRANSPORTATION REQUESTS WILL HAVE A 2 BUSINESS DAY WAITING PERIOD BEFORE TRANSPORTATION WILL BEGIN.  THE 2 DAY PERIOD IS FROM THE DATE THIS FORM IS RECEIVED.***
MM
/
DD
/
YYYY
Form of Payment *
If other, please explain.
Please add any other special circumstances here.
Parent/Guardian Signature (Typed) *
By signing this, we verify that we have read the Terms and Conditions for Bus Riding Privileges and agree to do all that we can to see that our child complies with bus rules.                                                                                                                            Find the Terms and Conditions here: https://drive.google.com/file/d/1HSegJDoH2qjchLVXzxdEdjAATuj_hLCr/view?usp=sharing
If this form was completed by a liaison, please initial here.
Please review your information. If you used autofill, check to make sure that your student's name is correct. Thank you!
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