TRANSPORTATION/EMERGENCY INFORMATION

** ALL parents MUST complete section "A" - even if your child(ren) does (do) not regularly ride a bus.



A.  PLEASE LIST AT LEAST TWO NAMES (WITH TELEPHONE NUMBER) OF PEOPLE YOUR CHILD MAY RIDE HOME WITH IN THE EVENT OF ILLNESS, MISSED BUS, SCHEDULE CHANGE OR EMERGENCY.

NAME TELEPHONE #

_______________________________________________

_______________________________________________

_______________________________________________


B.  STUDENT(S) NAME:___________________________
___________________________
___________________________
___________________________
SCHOOL DISTRICT IN WHICH YOU RESIDE: __________

BUS #____TO SCHOOL

BUS#____ FROM SCHOOL

RIDE THE BUS: ___DAILY
                             ___SOMETIMES
                             ___NEVER
                                        (PLEASE CHECK ONE)