Adopted: February 2007
Revised: January 2010
Download 707.7.3P - Request to Ride Buses for Intradistrict Transfer Students - Magnet Schools
Parents of students who will be attending a magnet school in District 196 must complete this form in order to receive busing. Busing will be provided to and from an established stop for the magnet school.
Students may have one location for an AM stop and/or one location for a PM stop. If a student needs transportation to or from a location other than the ones listed below, transportation will be the parent’s responsibility. There is no noon busing for half-day kindergarten.
Please indicate whether or not you will want busing to and/or from the magnet school listed below. Also, indicate the AM pick-up and PM drop-off address for your student.
student name (last, first, middle initial) birth date _____ _____ _____ month date year |
sex M F |
No, I will not be using busing.
Yes, I will be using busing to and/or from my child’s magnet school from the following address(es):
AM address:
house/apt. number, street address city zip code
(If this is a day care address, please indicate the name of the day care: )
PM address:
house/apt. number, street address city zip code
(If this is a day care address, please indicate the name of the day care: )
parent/guardian name (last, first, middle initial) |
telephone number ( ) |
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parent/guardian address (residence)
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city
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zip code |
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student address (if different from parent/guardian)
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city
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zip code
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magnet school attending
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grade |
student will use bus to school only from school only both |
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As a parent/guardian, I agree to provide for my child's safety while going to and from the District 196 bus stop prior to boarding and after disembarking from the bus.
_______________________________________ ___________________________
Signature of parent/guardian Date