BUS TRANSPORTATION REGISTRATION FORM 2024 2025

BUS TRANSPORTATION REGISTRATION FORM
SCHOOL: MANHATTAN CATHOLIC SCHOOLS
(Last)*
(First)*
(Middle)
GRADE*
DOB*
2. HOME RESIDENCE (STREET) ADDRESS
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
(If rural address, please give a brief description of location. For example: 1/4 mile south of Pillsbury Crossing.)
3. DROP OFF/PICK UP ADDRESS IF DIFFERENT FROM ABOVE
3.EMERGENCY INFORMATION (If student goes to a baby-sitter, please include information about the child care provider
Guardian(Name)
(Home Phone #)
(Work Phone #)
Guardian (Name)
(Home Phone #)
(Work Phone #)
Child Care Provider (Name)
Child Care Provider (Address)
Child Care Provider (Phone #)
4. Distance from school where the student attends. (Give distance in miles if possible) This information is extremely important, so be as accurate as possible.*
I UNDERSTAND THE BUSES ARE EQUIPPED WITH AND WILL BE USING AUDIO VIDEO CAMERAS ON BOARD. 1 HAVE READ AND DISCUSSED THE BUS RULES AND REGULATIONS WITH MY STUDENT AND WILL WORK WITH USD #383 IN SOLVING ANY CONDUCT PROBLEMS THAT SHOULD ARISE.
Signature

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Date*

MonthDayYear
Date
Should be Empty: