C.J. Hicks Change of Transportation Request
Student's Name
First Name
Last Name
Sibling's name (if applicable)
First Name
Last Name
Sibling's name (if applicable)
First Name
Last Name
Sibling's name (if applicable)
First Name
Last Name
Sibling's name (if applicable)
First Name
Last Name
Parent's Name
First Name
Last Name
Upload picture of drivers' license.
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Parent Phone Number
Please enter a valid phone number.
Parent's E-mail Address
example@example.com
Homeroom Teacher(s)-Select all that apply.
Please Select
Rdy-Hector
Rdy-Mack
Rdy-Scott
Rdy-Smith
PK-Connole
PK-Cutter
K-Brockett
K-Foot
K-Hurt
K-Joseph
K-July
K-Terry
K-Whitaker
1-Addison
1-Askew
1-Bratchett-Miles
1-Duncan
1-Edwards
1-Iacopelli
1-Torres
2-Cason
2-Cockburn
2-Eddie
2-Harris
2-JacksonK
2-JacksonV
2-McWhorter
3-Bethune
3-Holder
3-Medley
3-Roldan
3-Stancil
3-WashingtonK
4-Allen
4-Cooper
4-Little
4-Robinson
4-Webb
4-WilliamsK
5-Clark
5-Jones
5-Lopez
5-Martinez
5-Reyna
5-Vandroof
K-Brockett
K-Foot
K-Hurt
K-Joseph
K-July
K-Terry
K-Whitaker
PK-Connole
PK-Cutter
Rdy-Hector
Rdy-Mack
Rdy-Scott
Rdy-Smith
Start Date for Transportation Change
-
Month
-
Day
Year
Date
End Date for Transportation Change
-
Month
-
Day
Year
Date
The transportation change will be
Change from
Bus Number or Day Care Name
Change to
Car Rider
M.O.R.E.
Bus
Daycare
Submit
Should be Empty: