2018-19 Student Transportation Form
One form per student. Please refer to our bus schedule to locate the number of your bus route and stop time.
Student First Name *
Your answer
Student Last Name *
Your answer
Grade *
Parent/Guardian Name *
Your answer
Parent/Guardian Primary Phone (xxx)xxx-xxxx *
Your answer
Parent/Guardian E-mail Address
Your answer
Secondary Contact Name *
Your answer
Secondary Contact Number (xxx)xxx-xxxx *
Your answer
Secondary Contact E-mail Address
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number (xxx)xxx-xxxx *
Your answer
MORNING-How will your student get to school? *
Required
AM Bus 1
AM Bus 2
AM Bus 3
Am Bus 4
AM Bus 5
AM Bus 6
AM Bus 7
AM Bus 8
Afternoon - How will your student get home from school? *
Required
IMPORTANT- List 3 adults (first and last name) other than yourself that may pick-up your student for dismissal, at the bus stop or an emergency. They will need provide photo ID. *
Your answer
PM Bus 1
PM Bus 2
PM Bus 3
PM Bus 4
PM Bus 5
PM BUS 6
PM Bus 7
PM Bus 8
*If your student will be riding different bus on Fridays please note the bus and stop below.
Your answer
*If your student will be riding more than one bus please include the the second bus and the second bus stop. What days the student will be riding this bus?
Your answer
You agree to arrive at the bus stop at least 10 minutes before scheduled pick-up/drop-off time, and allow a 20 minute window for the bus to arrive. *
You understand students in 2nd grade and below will be returned to school if there is not an older sibling or authorized adult to pick them up at the bus stop. After three (3) returns to school the student will not permitted to ride the school bus. *
You agree to complete a new form if any of the information provided changes allowing 48-72 hours for changes to take effect. *
You agree to, and have discussed the Eastside Charter School Bus Safety Rules & Conduct Agreement with your student. *
You understand this form does not serve as official notice of an information change. If you have moved or your phone number has changed, please contact the main office, (302) 762-5834 (ext 100) *
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