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Series 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                                                                                 _____      _____     _____

                                                                                                 

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

OFFICE USE ONLY

date received:

magnet student:  ❏ new   ❏ existing

student ID:

date sent to transportation:

last school attended:

requested start date:

notes:

Return to:
Independent School District 196

Magnet School Specialist
3455  153rd Street West

Rosemount, MN  55068

Procedures/707.7.3P/1-19-10