Annual School Bus Ridership Form
2021-2022 School Year
Instructions:
Please complete a separate form for each child in your household in Grades Kindergarten through 12th as well as Developmental Pre-School children with an IEP or 504 Health Plan that lists Transportation as a Related Service. This form should be completed regardless of whether your child will require School Bus transportation.
What is your name?
First Name
Last Name
What is your child's name?
First Name
Last Name
What grade will your child be in for the 2021-2022 School Year?
What school will your child attend for the 2021-2022 School Year?
Will your child possibly require School Bus transportation at any time during the 2021-2022 School Year?
Yes, please route my child.
No, I opt out of transportation for my child.
Will your child require AM, PM, or AM & PM transportation?
AM Only
PM Only
AM and PM
Not Applicable - I opt out of transportation for my child.
Is the drop off and/or pick-up address different than your home address?
Yes
No
Not Applicable - I opt out of transportation for my child.
If you selected 'Yes' for the previous question, an Alternate Transportation Request Form will be required for your child. Would you like us to e-mail you this form?
Yes
No, I will request a paper copy from the school.
Not Applicable
Please provide your e-mail address if you selected 'Yes" for the previous question and want us to e-mail you an Alternate Transportation Request Form.
example@example.com
Did your child ride a School Bus with us during the 2020-2021 School Year?
Yes
No
If you selected 'Yes' for the previous question, what bus did your child ride? (Please provide the Bus # or the Driver's name.)
Thank-you for providing your information! This will help expedite route planning ahead of registration.
If you have any transportation-related questions, please e-mail kfalk@ses.k12.in.us.
Submit
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