KINGSTON SCHOOL DISTRICT - Transportation for School Year: 2024-25

KINGSTON SCHOOL DISTRICT

Request for Transportation for School Year:

2024-2025

E-mail: transportation@kingstoncityschools.org
Date

MonthDayYear

**A form must be completed for each child. In accordance with the laws of the State of New York, I hereby request that transportation be provided for:

Name of Student

First NameLast Name
Street Address

Street Address

Street Address Line 2

CityState

Zip Code
Mailing Address (if different)

Street Address

Street Address Line 2

CityState

Zip Code
Age
DOB

MonthDayYear
Date
Grade Level in Sept. 2023
School requesting Transportation to
Signature of Parent of Guardian

Clear
Parent or Guardian Name

First NameLast Name
Relation to student
Phone Number (with area code)
Please enter a valid phone number.
Email
example@example.com
All information supplied by you on this form will replace any previous information we have on file for you and/or the student.
Emergency contact and phone #

Name name Phone # Area Code Phone Number
Relationship relationship
Emergency contact and phone #

Name name Phone # Area Code Phone Number
Relationship relationship
Emergency contact and phone #

Name name Phone # Area Code Phone Number
Relationship relationship
Emergency contact and phone #

Name name Phone # Area Code Phone Number
Relationship relationship
**Student must be 5 years of age on or before December 1st.
Should be Empty: