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Impact Transportation Registration
This form will be utilized by families of KIPP IMPACT ACADEMY to register for transportation and make changes to transportation assignments.
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* Indicates required question
Parent /Guardian name (First and Last name)
*
Your answer
Parent/ Guardian Email
*
Your answer
Parent Phone number
*
Your answer
Home Address (must be same as in student's Focus account)
*
Your answer
Student name (First & Last name)
*
Your answer
Student ID Number
*
Your answer
Student incoming grade level
*
Kindergarten - KINDER FORM MUST BE ON FILE @ SCHOOL BEFORE STUDENT MAY RIDE
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Choose a Bus Stop
*
6074 Morningside Apartments on Jammes Rd.
6067 Argyle Westside Lion Club Plaza
6074 5710 Lenox Ave. @ Madison Oaks Apt.
6079 Courtney Manor @ 5620 Collins Rd.
6082 Family Dollar( Corner of Morse & Firestone)
6067 Villas @ Timaquana (103rd & Catoma) Pickup on Catoma
6079 Seaboard & 110th St Iglesia Hermosa Church
6079 Walgreens (Blanding & Townsend Road)
6073 Sandler & Old Middleburg Rd
6073 Oakleaf Plaza (Pet Smart)
6089 Chaffee West Branch Library
6089 8022 Herlong Rd. & Fouraker @ QuickWay
6061 One Heart Church (Old Middleburg Rd & Fouraker
6067 Westside Christian Learning Center (PM ONLY)
6067 Ringhaver Park 5198 118th St
6082 Argyle Forest Blvd. & Cheswick Oak(Behind McDonalds)
6061 Anvers & Bartholf Avenue
6061 One Heart Church (Old Middleburg)
6061 Jax Heights Apt, 103rd (near Dollar General)
6074 Hyde Grove Lane & Wiley @ Wiley Senior Center
How Often will your student need the bus ?
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MTWTF
Wednesday Only
AM Only MTWTF
PM Only MTWTF
Wednesday AM Only
Wednesday PM Only
For the 25-26 SY are you a returning KIPP student?
*
Yes. I attended KIPP Jax last year and will attend again for 25-26.
No. This is my first year attending KIPP.
I didn't attend last school year, but attended in prior years.
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