Clone of Alternate Pick-up Drop-off Request Form 25-26

First NameMiddle NameLast Name

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Format: (000) 000-0000.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

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

Please read this form carefully and be aware that in signing up for this program, you will be waiving and releasing all claims for injuries that might be sustained or arising out of participation in the program.

The undersigned hereby request that School District 308 allow the student to participate in the Alternate Pick up / Drop off program (the “Program”). Under the program, the student will be transported daily to an alternate location rather than the student’s home address area at the beginning and/or end of each school day.

The undersigned represents and warrants that the student will be met and custody of the student will be assumed by a responsible adult at the alternate location. The undersigned hereby agrees to waive and relinquish all claims including injury; death, damage or loss the undersigned or student may have as a result of participating in the program against the School District, its officers, agents, servants, and employees.

Participation in the program will terminate in the event that any information is provided found to be
misleading or false.

I give my permission for my child to ride a School District 308 or contractor provided bus. I understand my child
must walk to an existing bus stop, and I assume full responsibility for my child getting to and from the bus stop
safely. I further understand if my child misbehaves or if space is needed for an eligible bus student, my child will
lose bus ride privileges.

If you have any questions, please contact the District Transportation Center.

55 Stonehill Road | Oswego, IL 60543
Phone: (630) 636-2999 | Bilingual: (630) 636-2986

Alternate Bus Stop/Pick-up Request Form

Alternate Drop-off or Pick-up Location Information