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707.7.3P - Request to Ride Buses for Intradistrict Transfer Students - Magnet Schools

707.7.3P - Request to Ride Buses for Intradistrict Transfer Students - Magnet Schools

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

(         )

parent/guardian address (residence)

 

 

city

 

zip code

student address (if different from parent/guardian)

 

 

city

 

zip code

 

magnet school attending

 

grade

student will use bus

 to school only

 from school only

 both

         

 

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