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Alternate Address or Daycare Request Registration

Required

If your child will require transportation to/from an alternate address (i.e. daycare), please submit this form. Please allow 3-5 business days for any changes to occur.

Any student registered for a bus who does not ride for 10 consecutive school days (2 weeks) will have their stop removed from routing. A 24 hour notice is required to reassign the stop.

You will be able to access your student’s bus information through Tyler’s Versatrans e-Link. An e-mail will go out to all registered riders in mid-August with detailed information. Please provide a current e-mail address to ensure you receive notifications.

This form is due by June 15

One student per form please

What School Year is this for?
Student Namerequired
First Name
Middle (optional)
Last Name
When Student Will RiderequiredChoose all that apply
Choose all that apply
Street Addressrequired
Apt. #
Cityrequired
Staterequired
Ziprequired
Home Phone Numberrequired
XXX-XXX-XXXX
Graderequired

 

Parent/Guardian Namerequired
First Name
Last Name
Parent/Guardian Daytime Contact Numberrequired
XXX-XXX-XXXX
Parent/Guardian Cell Number
XXX-XXX-XXXX
Parent/Guardian Email Addressrequired
Does your child need to be picked up or dropped off at an alternate location such as Daycare?required

Fill out this form ONLY IF your student will be transported to/from a place other than home.

Student Will Be Picked Up AtChoose one
Choose one
Student Will Be Dropped Off AtChoose one
Choose one
Daycare/Alternate Street Address
Daycare/Alternate City
Daycare/Alternate State
Daycare/Alternate Zip
Daycare/Alternate Contact Name
First Name
Last Name
Daycare/Alternate Contact Phone Number
XXX-XXX-XXXX

 

Comments/Concerns/Questions?
Parent/Guardian E-Signaturerequired
First Name
Last Name
Date
Must contain a date in M/D/YYYY format