Free School Bus Registration Form

Please fill out this form to register your child for school bus transportation.
Parent/Guardian Information
Name
Phone Number
Home Address
Preferred Contact Method
Phone
Email
Text
Student Information
Student’s Name
Grade Level
Date of Birth
Special Needs/Allergies (if applicable)
Pick-Up and Drop-Off Information
Please provide the address where the student will be picked up and dropped off each day.
Pick-Up Address
Drop-Off Address
Additional Notes
Provide special instructions or safety requirements.
Bus Schedule Preference
Select the schedule that best fits your student’s transportation needs.
Morning Only
Afternoon Only
Both Morning and Afternoon
Emergency Contact
Name
Relation to Student
Phone Number
Authorized Pickup Individuals
For safety purposes, list individuals other than yourself who are authorized to pick up your child from the bus.
Name | Relation to Student | Phone Number |
|---|---|---|
| | |
| | |
| | |
Additional Information
Please provide any other details that may help us ensure a safe and smooth transportation experience for your student:
Parent/Guardian Signature
By signing below, I acknowledge that I have read and agree to follow the school’s bus transportation policies and guidelines.
Name:
Date:
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