*2019-2020* Imagine School - Chancellor Campus Bus Sign Up Form
*Transportation will be granted on a first come first served basis. Please do not submit more than one request per student unless your address has changed. In many cases, application dates are used to determine priority and the most recent application date overwrites all previous entries.
Please select the school year that you are requesting transportation.
Parent or Legal Guardian Full Name
Student's First Name
Please enter the student's legal first name (no nicknames).
Student's Middle Initial (INITIAL ONLY)
Student's Last Name
Please enter the student's legal last name.
Student's Date of Birth
Student's School Name
Imagine School Chancellor Campus
Student's School Grade
Please enter the student's grade level that will correspond to the school year selected above.
Student's Home Street Address (Primary)
Please enter only the house # and street name only. DO NOT USE ANY PUNCTUATION.
Student's Apartment or Unit #
Please enter the unit #.
Student's Home City (Primary)
Please enter the city of residence name.
Student's Home Zip Code
Please enter the zip code.
Parent or Guardian's Main Phone Number
Parent or Guardian's Alternate Phone Number 1
Parent or Guardian's Alternate Phone Number 2
New Request for Transportation
Change of Address (New Bus Stop)
Sibling Enrollment Status
Will any siblings attend the same school? Please note a separate form must be submitted for each student that needs transportation.
Yes. I understand I must submit a separate request for each student.
A copy of your responses will be emailed to the address you provided.
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