Bus Registration Form 2022-2023

Morris Community School's Shared Transportation Form
Clerical - Progress
Date

Month Day Year
Date
Initials
What district will your student attend? (22-23) *
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Morris High School students must live 1.5 miles away from MCHS to qualify for busing. MCHS does give the option to pay-to-ride for students that live in the walk zone. The cost is $125 per semester.

Please contact Amber Sharp at the Morris High School for more information regarding pay-to-ride. 815-941-5361
Morris Grade School students must live 1.5 miles away from Morris Grade School to qualify for busing. Morris Grade School does give the option to pay-to-ride for students that live in the walk zone. The cost is $125 per semester.

Please contact Tracy Gonzalez for more information regarding pay-to-ride. 815-416-1745
School attending (22-23) *
School attending (22-23) *
School attending (22-23) *
What kind of bus rider are you? *

Student Information

One form per student is required. Please fill out separate forms for each student.
Students Name *

First Name Last Name
Gender *
Date of Birth *

Month Day Year
Date
Student Phone Number
Grade level (22-23) *
Grade level (22-23) *
Grade Level (22-23) *
Family Information
Parent/Guardian #1
Parent/Guardian #1 *

First Name Last Name
Relationship To Student
Cell Phone *
Home Phone
Work Phone
Parent/Guardian #2
Parent/Guardian #2

First Name Last Name
Relationship To Student
Cell Phone
Home Phone
Work Phone

Address Information
Remember your student is allowed one a.m. pick up location and one p.m. drop off location. The a.m. and p.m. locations can be different but they must be consistent Monday through Friday.
Has your Home Address Changed? *
If you are unsure, please select yes and fill out the address below.
Student Home Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Is AM transportation required? *
Has your Pickup Address or Pickup Contact Changed? *
If you are unsure, please select Yes and fill out the information below.
Pick Up Contact *

First Name Last Name
Relationship To Student *
Pick Up Cell Phone *
Pick Up Home Phone
Student Pickup Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Is PM transportation Required? *
Has your Drop-off Address or Drop-off Contact Changed? *
If you are unsure, please select Yes and fill out the information below.
Drop Off Contact *

First Name Last Name
Relationship to student *
Drop Off Cell Phone *
Drop Off Home Phone
Student Drop-Off Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Would you like to add a second Drop-Off contact? *
Drop Off Contact (2) *

First Name Last Name
Relationship to student (2) *
Drop Off Cell Phone (2) *
Would you like to add a third Drop-Off contact? *
Drop Off Contact (3) *

First Name Last Name
Relationship to student (3) *
Drop Off Cell Phone (3) *
Emergency Contact Information
Emergency Contact #1
Emergency Contact #1 *

First Name Last Name
Relationship to Student *
Cell Phone *
Home Phone
Work Phone
Emergency Contact #2
Emergency Contact #2 *

First Name Last Name
Relationship to Student *
Cell Phone *
Home Phone
Work Phone
During the school year or in the week leading up to the start of the school year, please allow up to 2 business days for bus assignments to be updated in the event of changes submitted with this form.
Receive a Copy

Please provide an email below for a copy of your submission
Submission Email *
example@example.com

Operational Services
Exhibit - Emergency Medical Information for Students Having Special Needs or Medical Conditions Who Ride School Buses

The purpose of this form it to give school bus drivers and/or emergency medical technicians information about children who have special needs or medical conditions. One copy of this form is kept in the nurse's office, and another copy is kept on the students school bus in a secure location for the bus driver and emergency medial technicians. If the emergency care of the student requires medication, the parent/guardian must file a School Medical Authorization Form with the school nurse.

To be completed by the student's parent/guardian:
Parent/Guardian's Name *

First Name Last Name
Cell Phone Number *
Home Phone Number
Physician's Name *

First Name Last Name
Physician's Phone Number
If the field does not apply to your child please write NA
My child's special needs are: (list behavioral or communication challenges and required responses) *
My child requires medication for: (describe conditions and circumstances) *
Medication and Where Kept, Dosage, and Directions *
Parent/Guardian Signature *

Clear
Should be Empty:

Morris Community School's Shared Transportation Form

Student Information

Family Information

Parent/Guardian #1

Parent/Guardian #2

Address Information

Emergency Contact Information

Emergency Contact #1

Emergency Contact #2

Receive a Copy

Operational Services

If the field does not apply to your child please write NA