Non Bus Rider/ Parent Pickup Form
2024-2025
Dear Parents/Guardians,
We are asking that you fill out this form if your child/children will not ride the bus, but will be picked up by you. We ask that you fill out one form per student. AM drop off changes do not need to be submitted, PM pickup changes need to be submitted no later than 11:30 am the day you will be picking them up. THE LESS CHANGES THE BETTER!
School Student Attends
*
Please Select
Florence Elementary School
Florence MS/HS
Students Current Grade
*
Please Select
4K
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
Date student will be picked up
*
-
Month
-
Day
Year
Date
Name of Person Picking the Child Up
*
Name of student that will be picked up from school
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number of a person that we can contact at this address if necessary.
Day(s) of the week student will be picked up
*
Monday
Tuesday
Wednesday
Thursday
Friday
Email
*
please enter your email address and you will be emailed a copy of this form for verification
DateTime
Signature
*
Submit
Should be Empty: