CIL Bus Registration Form

NOTICE: The Transportation Office will need up to three (3) business days upon receipt of this form in order to coordinate transportation to and from school. To ensure proper routing and capacity for each bus, the following student information is needed, and the form should be returned to the area transportation office.

IMPORTANT: Students who accrue one (1) major or two (2) minor bus referrals while riding the CIL bus may be expelled from the bus for the remainder of the school year and may have their time at CIL extended through the next quarter.

CIL Orientation Date (please contact CIL if you have not scheduled your orientation)

Date

Student's Name

First NameLast Name

Home School

Grade Level

Best Contact Number:

Please enter a valid phone number.Format: (000) 000-0000.

Parent/guardian Email Address

example@example.com

Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Mother's Work Phone:

Please enter a valid phone number.Format: (000) 000-0000.

Father's Work Phone:

Please enter a valid phone number.Format: (000) 000-0000.

Emergency Contact Name

Emergency Contact's Phone:

Please enter a valid phone number.Format: (000) 000-0000.

Information pertaining to medical needs required of your child:

Just as in regular transportation for the school year, all Opportunity School students will follow all rules and regulations as outlined in the Aiken County Public Schools Student Code of Conduct.

Once the pick-up and/or drop-off stop location has been approved by the Transportation Supervisor, the approval is for the duration of their time at Opportunity School.

My student requires bus services from home to school:

My student requires bus services from school to home:

Parent/guardian's Name

Date

Parent Signature