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Bus Stop Change Request

If your child will need busing to another and/or from any location different from your home address on a daily basis, you must fill out a Bus Stop Change Request Form.

PLEASE NOTE: This form must be submitted every school year for approval. Bus stop changes do not carry forward from the previous year. Requests must be received by July 31st each year to be effective on the first day of school. Please allow 7-10 working days for the change to occur. You will be contacted by transportation when the change has been made.

REQUEST FORM
* = required
Student's First Name:*
Student's Last Name:*
Student ID:* *Student IDs are available in Home Access Center
School:*
Grade:*
Requested Starting Date of Change:*
Home Address:*
Town:* If Other, please specify:
Parent/Guardian Name:*
Parent/Guardian Phone Number:*
Parent/Guardian E-mail Address:*
REQUESTED TRANSPORTATION CHANGE

Please specify the type of change you are requesting:*
AM / Pickup only
PM / Drop-off only
Both AM and PM

AM Request - Pickup

Pickup Address:


Town (for pickup): If Other, please specify:

PM Request - Drop-off

Drop-off Address:


Town (for drop-off): If Other, please specify:

CONTACT AT ALTERNATE (PICKUP / DROP-OFF) ADDRESS
Name of Contact at Alternate Address: *
Phone Number of Contact at Alternate Address: *
SPECIAL INSTRUCTIONS


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