Transportation Form 2017-2018
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ABCDEFGHIJ
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PANA COMMUNITY UNIT SCHOOL DISTRICT #8
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TRANSPORTATION FORM
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2017 - 2018 SCHOOL YEAR
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Today's Date
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This form must be completed for each student attending school within the boundaries of Pana CUSD #8 (both public and private school students)
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Student Name:
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(Last Name)
(First Name)
(Middle Name)
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Student Address:
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House #, Street, City (No P.O. Box Address, please)
Telephone #
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School Attending (Check One):
Sr. HighJr. High
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LincolnWashington
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16
Alternative
Sacred Heart
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STUDENT GRADE: _________
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Check One:Student lives more than 1-1/2 miles from school attending
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Student lives less than 1-1/2 miles from school, but must cross Route 51, 29, or 16
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Student lives less than 1-1/2 miles from school, and does not have to cross Route 51, 29 or 16
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Transportation Type Needed (Check One Only)
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Rural Country RouteElementary to HS/JH
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Tower Hill In-Town Bus StopSpecial Education Route
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Washington CrosstownAlternative School Route
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Lincoln CrosstownNo Transportation Needed
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If Riding from a Pick Up Point, Please Check One Only:
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Methodist Church Locust & OrangeState & DeWitt
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6th & LocustLocust & DeWittSheridan & DeWitt
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9th & S. Poplar
Lake & Elm
Almond & Poplar
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6th & FairLake & FranklinOrange & Walnut
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6th & HickoryLake & PoplarChestnut & Mulberry
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6th & Pine
Lake & Locust
Walnut & Lake
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Minerva & E 2nd
Washington & John
Magnolia & Walnut
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E. 2nd & Kitchell
Washington & Raymond
Elizabeth & Mulberry
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Park & Jefferson
Washington & Carr
E. 3rd & S. Locust
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Pine & Jefferson
W. 2nd & John
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NOTICE TO STUDENT/PARENT/GUARDIAN:
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*Students are allowed ONE primary stop. If you need to request an alternate stop, please contact Transportation Office at 562-1524.
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*If student lives less 1-1/2 miles from school, and does not cross Routes 51, 29, or 16, bus transportation is not provided
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Parent/Guardian Signature:
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