Regina K-12 2023-2024 Bus Ridership
We are beginning the process of planning for the 2023-2024 school year. We need your assistance in making our routes as accurate as possible. In order to confirm your child’s seat on a bus for 2023-2024, we ask that you complete the form below. There is a $50 per student busing ridership fee. If your child previously rode the bus, they will not be automatically put on a route for the next school year. Please fill out the form completely. Students are only routed when this form is filled out and the ridership fee is paid. Students who live outside of the Iowa City Community School District will NOT be routed.
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Please answer the following question to determine student eligibility to ride the bus:
We live in the Iowa City Community School District at least two miles (grades K-8) or three miles (grades 9-12) from Regina.
*
Yes
No
Student 1 - Grade Level for 2023-2024 School Year
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Student 1 - Last Name
*
Last Name
Student 1 - First Name
*
First Name
Student 1 - Address
*
House Number
Street Name
Apt/Unit/Lot
City
Postal / Zip Code
Emergency Contact #1 Phone Number
*
-
Area Code
Phone Number
Emergency Contact #1 Name
*
First Name
Last Name
Emergency Contact #2 Phone Number
-
Area Code
Phone Number
Emergency Contact #2 Name
First Name
Last Name
Do you have a 2nd eligible student to register to ride the bus?
*
Yes
No
Student 2 - Grade Level for 2023-2024 School Year
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Student 2 - Last Name
Last Name
Student 2 - First Name
First Name
Student 2 - Address
House Number
Street Name
Apt/Unit/Lot
City
Postal / Zip Code
Do you have a 3rd eligible student to register to ride the bus?
Yes
No
Student 3 - Grade Level for 2023-2024 School Year
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Student 3 - Last Name
Last Name
Student 3 - First Name
First Name
Student 3 - Address
House Number
Street Name
Apt/Unit/Lot
City
Postal / Zip Code
Do you have a 4th eligible student to register to ride the bus?
Yes
No
Student 4 - Grade Level for 2023-2024 School Year
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Student 4 - Last Name
Last Name
Student 4 - First Name
First Name
Student 4 - Address
House Number
Street Name
Apt/Unit/Lot
City
Postal / Zip Code
Do you have a 5th eligible student to register to ride the bus?
Yes
No
Student 5 - Grade Level for 2023-2024 School Year
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Student 5 - Last Name
Last Name
Student 5 - First Name
First Name
Student 5 - Address
House Number
Street Name
Apt/Unit/Lot
City
Postal / Zip Code
If your student(s) will be utilizing more than one stop, please include any additional addresses and days of the week the different addresses will be used. Please specify if they need only AM pick or PM drop off.
Bus Registration for 2023-2024
prev
next
( X )
Bus Registration fee per Student =
$
50.00
Please be sure to select the total quantity for the number of students that are being registered to ride the bus for the 2023-2024 school year.
Quantity
Item subtotal:
$
0.00
Total
$
0.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: