Transportation Form
Parent/Guardian name:
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
My child(ren) will use the following method of transportation TO school:
Car Rider
School District Busing
Dayspring Busing (please see information above about Dayspring busing requirements)
Will your student be driving him/herself to school?
Yes
No
Number of Car Riders TO school:
TO school: First Car Rider Student name and grade
TO school: Second Car Rider Student name and grade
TO school: Third Car Rider Student name and grade
TO school: Fourth Car Rider Student name and grade
TO school: Fifth Car Rider Student name and grade
TO school: Sixth Car Rider Student name and grade
TO school: Seventh Car Rider Student name and grade
Number of students requiring busing TO school:
TO school: First Bus Student name and grade
TO school: Second Bus Student name and grade
TO school: Third Bus Student name and grade
TO school: Fourth Bus Student name and grade
TO school: Fifth Bus Student name and grade
TO school: Sixth Bus Student name and grade
TO school: Seventh Bus Student name and grade
My child(ren) will use the following method of transportation FROM school:
Car Rider
School District Busing
Dayspring Busing (please see information above about Dayspring busing requirements)
Number of Car Riders FROM school:
FROM school: First Car Rider Student name and grade
FROM school: Second Car Rider Student name and grade
FROM school: Third Car Rider Student name and grade
FROM school: Fourth Car Rider Student name and grade
FROM school: Fifth Car Rider Student name and grade
FROM school: Sixth Car Rider Student name and grade
FROM school: Seventh Car Rider Student name and grade
Number of students requiring busing FROM school:
FROM school: First Bus Student name and grade
FROM school: Second Bus Student name and grade
FROM school: Third Bus Student name and grade
FROM school: Fourth Bus Student name and grade
FROM school: Fifth Bus Student name and grade
FROM school: Sixth Bus Student name and grade
FROM school: Seventh Bus Student name and grade
Will your student be participating in the Aftercare Program? *Please note that a registration form MUST be completed prior to using the program
*
Yes
No
What days will your student(s) attend the Aftercare Program?
Monday
Tuesday
Wednesday
Thursday
Friday
Schedule Varies
What is the first day your student(s) will attend the Aftercare Program?
-
Month
-
Day
Year
Date
Select the School District in which your child(ren) reside (Parents with shared custody, with district approval, may check both districts if residences are in different districts.)
*
Central York
Cocalico School District
Columbia School District
Conestoga Valley School District
Donegal School District
Eastern York School District
Elizabethtown School District
Ephrata School District
Governor Mifflin
Hempfield School District
Lampeter Strasburg School District
Manheim Central School District
Manheim Township School District
Penn Manor School District
Pequea Valley School District
School District of Lancaster
Solanco School District
Spring Grove
Warwick School District
Additional Comments for Specific Days, Times for Transportation Needs, or Afterschool Program
Parent/Guardian Digital Signature
*
I have read and understand the important notices above. I understand that checking this box constitutes my legal signature.
Submit
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