SCHOOL BUS TRANSPORTATION REQUEST FORM

SOMERSET ACADEMY ST LUCIE

SCHOOL BUS TRANSPORTATION REQUEST FORM
PLEASE NOTE THAT SEATING ON THE SCHOOL BUS IS SUBJECT TO AVAILABILITY. IF THE BUS REACHES CAPACITY, YOUR CHILD MAY BE PLACED ON A WAITLIST UNTIL A SEAT BECOMES AVAILABLE.

THANK YOU

TRANSPORTATION APPLICATION
Complete the information below for school bus transportation using one application per student.
STUDENT NAME*

First NameLast Name
STUDENT ID # (This is the students 5621..#)
STUDENT GRADE*
STUDENT DOB (DATE OF BIRTH)*
STUDENT ADDRESS*
Street Address
CITY*
STATE*
ZIP CODE*
PARENT / GUARDIAN INFORMATION
PARENT NAME*

First NameLast Name
PARENT / LEGAL GUARDIAN HOME PHONE*
Format: (000) 000-0000.
PARENT / LEGAL GUARDIAN CELL PHONE*
Format: (000) 000-0000.
PARENT / LEGAL WORK PHONE*
Format: (000) 000-0000.
EMAIL ADDRESS*
example@example.com
Any medical issues Driver needs to be aware of:
Parent/Guardian Name (First and Last Name)
First & Last Name

Limited bus service will be provided for those students who are eligible for transportation. The bus transportation provided is designed in accordance with transportation guidelines in Florida State Statures. Routes, pick-up, drop-off, times and stop locations are developed prior to the start of the school year. By signing this form, you are acknowledging that you understand the stop your student is assigned to may be a depot stop.*

I Understand and wish to proceed

Sign up for transportation blasts:

Send text message to 81010

with the message @saslbus
Parent/Legal Guardian Signature

Clear
Date*

MonthDayYear
Date
Bus Stop
Bus Stop Time
Bus #
Should be Empty:

SOMERSET ACADEMY ST LUCIE