Transportation Request Form
Student Information
Student's Name
*
First Name
Last Name
Grade
*
Please Select
K
1
2
3
4
5
6
7
8
Parent/Guardian Information
Parent/Guardian's Name
*
First Name
Last Name
Address
*
City
*
State
*
Zip Code
*
Home Phone
*
Cell Phone
*
Bus Stop Information
Please
select your requested bus stop location from the list below:
Bus Stop Location
*
Please Select
STOP 1 – Dove/Grand Ave. – 6:30am/3:25 (STOP 3 pm)
STOP 2 – Darlington/Arcadia – 6:37am/3:08pm (STOP 1 pm)
STOP 3 – Riddle/Grand Ave. – 6:43am/3:15pm (STOP 2 pm)
STOP 4 - Calvary Chapel Parking Lot - 6:50 am/3:35 pm
STOP 5 - Trouble Creek Rd. & Ackerman St. - 6:53 am/3:38pm
STOP 6 - Ackerman St. & Cecelia Dr. - 6:55 am/3:40 pm
STOP 7 - Monroe & Georgia - 6:59 am/3:44 pm
STOP 8 - Monroe & Montana - 7:01 am/3:46 pm
STOP 9 - Congress & Florida - 7:04 am/3:49 pm
STOP 10 - Congress & Kentucky(Save-A-Lot-Parking lot) - 7:06 am/3:51 pm
STOP 11 - Congress & Aberdeen - 7:09 am/3:54 pm
STOP 12 - Cedar View - 7:20 am/4:05 pm
STOP 13 - Sunshine Kids Day Care (9316 Little Road) - 7:30 am/4:15 pm
STOP 14 - Cypress Trail Apts. - 7:38 am/4:23 pm
When will your child need the bus?
*
Morning Only
Afternoon Only
Both
Please Note
Bus service is not guaranteed.
All students must have a guardian at the bus stop for both pick up and drop off,
no exceptions.
I understand that this is only a request for transportation and does not g
uarantee
bus service.
I understand that
bus ridership is a privilege and that my student can
lose this privileg
e
.
Parent/Guardian Signature
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