707.4P - Student Transportation Fee-For-Service Registration

Adopted: May 2010
Revised: March 2024

Download 707.4P - Student Transportation Fee-For-Service Registration

In accordance with District Policy 707, Student Transportation, students enrolled in their attendance area school and living or attending daycare outside of the areas eligible for transportation may pay an annual fee     for bus service to and/or from their attendance area school. Students who live within non-busing areas but are eligible for transportation due to hazardous crossing restrictions will continue to receive transportation at no charge. Fee-for-service transportation is not available for open-enrolled or intradistrict transfer students.

Parents/guardians applying for the transportation fee-for-service option must register each child receiving transportation services. Registration may be submitted in the following ways:

• Online with a credit card payment;
• By mail with this form and a check, or
• In person with this form and a check or cash.  Mail or deliver your payment to: 

District 196 Transportation Dept., 15180 Canada Ave., Rosemount, MN 55068

SCHOOL YEAR FEE OPTIONS (check only one):       

Submitted between June 1 and July 31(discounted)                              Submitted August 1 and later                                                                

__$275 per student                                                                                         __$300 per student

__$550 max per family                                                                                    __$600 max per family

__$138 per student eligible for educational benefits (reduced category)*      __$150 per student eligible for educational benefits (reduced category)*  

__$276 max per family eligible for educational benefits (reduced category)* __$300 max per family eligible for educational benefits (reduced category)*

__$69 per student eligible for educational benefits (free category)*               __$75 per student eligible for educational benefits (free category)*

__$138 max per family eligible for educational benefits (free category)*        __$150 max per family eligible for educational benefits (free category)*

*You have my permission to verify my child’s educational benefit status.

REGISTRATION:

Student                                                                                                                                                                      

              last name                     first name                                 middle initial    grade            ID#

Home address                                                                                                                                                     

                           address                         city                                           zip code

Parent/Guardian                                                                                                                             

                              last name                     first                                          middle initial

Phone number                                                                                                                                                                                  

                              home                            work                                         cell

Complete information below for any deviations in transportation to and/or from home each day.  Alternate address/Daycare provider information:

                                                                                                                                                     

last name                                             first name                                 phone

                                                                                                                                                     

address                                                city                                           zip code      

School attending                                                                                                                            

Frequency information:

Home Address

To School        ___M___T___W___TH___F                   From School  ___M___T___W___TH___F

Alternate Address/Daycare

To School        ___M___T___W___TH___F                   From School  ___M___T___W___TH___F

I understand it is my responsibility to bring my child to and from the bus stop designated for the location(s) noted above. I understand the school district’s responsibility will be to transport my child to and/or from school from the bus stop designated for these location(s).

Parent/Guardian signature                                                                        Date