Kindergarten Transportation Release Form

Kindergarten Transportation Release

2024-2025 School Year - New Albany-Plain Local Schools
Student Name*

First NameMiddle NameLast Name
Bus Number:*
Kindergarten students are normally met by a parent when they get off the school bus in the afternoon after school is out. In the event that a parent is unable to meet the kindergarten student, then please authorize one or more alternatives.

In the event that one, or both, parents are unable to meet the kindergarten student at the school bus stop after school, then the following person/persons or siblings are permitted to meet the child and escort them away from the school bus stop.

A photo ID will be required if the same person is not designated to be at the bus stop daily.
Parent/Guardian 1 Name:*

First NameLast Name
Relationship to Student*
Parent/Guardian 2 Name:

First NameLast Name
Relationship to Student*
IF EMERGENCY CONTACT IS OTHER THAN A PARENT/GUARDIAN PLEASE COMPLETE THE FOLLOWING:
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.
Relationship to Student:
(ex: aunt, uncle, grandmother, neighbor)
- My signature certifies that the above information is correct.
- I agree to notify the Transportation Department Immediately if an of the above information changes.
Parent/Guardian Signature:*

Clear
Should be Empty: