2023/24 New Paltz Private/Parochial Transportation Request Form

196 Main Street, New Paltz, New York 12561 • Phone: (845)256-4070 • Fax: (845)256-4079 • www.newpaltz.k12.ny.us
2023/2024 TRANSPORTATION REQUEST FOR PRIVATE/PAROCHIAL SCHOOLS

In accordance with the Laws of the State of New York, I hereby formally request
Transportation for my child to the enter school name School.
Child's Name
Age
DOB

MonthDayYear
Date
Grade Entering
Address: House # and Street
(PO Box Numbers Unacceptable; Please Indicate House # and Street)
City, State, Zip
Home or Cell Telephone #
Emergency Telephone #
THE NEW PALTZ CENTRAL SCHOOL DISTRICT DOES NOT TRANSPORT TO PRIVATE/PAROCHIAL SCHOOLS ON DAYS IN WHICH THE DISTRICT IS CLOSED FOR STUDENTS.

A request must be completed for each child and submitted on or before April 1, 2023 as established by Education Law Section 3635. Students who register for Kindergarten must meet the same requirements as students attending New Paltz Central School District.
SCHOOL ATTENDED BY YOUR CHILD IN THE 2022/2023 SCHOOL YEAR
PARENT/GUARDIAN SIGNATURE

Clear
DATE

MonthDayYear
Date
DATE RECEIVED

MonthDayYear
Date
MILEAGE DISTANCE FROM HOME TO SCHOOL

15 MILES AND UNDERMORE THAN 15 MILES
IF MORE THAN 15 MILES, STATE MILEAGE HERE
APPROVED
DISAPPROVED
Should be Empty: