Student Transportation Form

Check this box if this is an update to an already submitted form. (You must verify this, in person, at the building after submitting).

Please select the date in which the changes below will take effect. *

Date

Student Name*

First NameLast Name

Parent Name*

First NameLast Name

Parent Email*

example@example.com

School*

Parent Phone Number*

Please enter a valid phone number.

Bus Riders: To ensure the safety of students, parents will complete a transportation plan that will be followed every day. Only one destination for the afternoon plan may be chosen. If a situation arises in which a student cannot follow the afternoon plan, the parent/guardian must arrange for someone to pick up the child as a car rider. In this situation, the parent/guardian should call the school before 2:00 PM to let school personnel know who will be picking up the student.

NOTE: BUS TRANSPORTATION PLANS AND/OR ANY CHANGES TO THESE PLANS, WILL NEED TO HAVE PRIOR APPROVAL FROM THE TRANSPORTATION DEPARTMENT. PERMANENT BUS CHANGES MAY BE MADE BY THE PARENT/GUARDIAN COMING TO THE TRANSPORTATION OFFICE OR THE SCHOOL TO THE COMPLETE AND SIGN A NEW TRANSPORTATION PLAN. (1300 N. FALLS BLVD.)

Bus Number

Assigned by Transportation Department

MORNING PLAN*

Rows	Car	Bus	Physical Address (Morning Pick Up)	Phone Number
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY

Bus Number

Assigned by Transportation Department

AFTERNOON PLAN*

Rows	Car	Bus	Physical Address (Afternoon Pick Up)	Phone Number
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY