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Child Care Transportation Request Form
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Transportation Services: Child Care Transportation Request Form

 

Transportation Services: Child Care Transportation Request Form

 

Per School Board Policy 707, Subsection IV, G:

The parent/guardian may designate by a signed, written request a child-care facility, respite care facility, the residence of a relative, or the residence of a person chosen by the parent or guardian as the address of the student for transportation purposes.  The address must be in the attendance area of the assigned school and meet other eligibility requirements.

Complete one form for each student; Daycare requests will be carried forward at the beginning of each new school year, through 5th grade. Parents must complete a new form if they wish to cancel or make changes to their existing arrangement. 

 

Student Name:
Grade:
School:
Address:
  
Parent/Guardian:
Phone:
Secondary Phone:
Email Address:
  
Child Care Provider's Name:
Child Care Provider's Address:
Child Care Provider's Phone:
Child Care Provider's Email:
Start Date:*
*Please allow 4-5 businessdays for processing
  
Pick-up Plan:
Drop-off Plan:
Comments or Instructions:

NOTE: Pick-up and drop-off must be consistent i.e. same pick-up/drop-off point every day of the week.

 

Parent/Guardian e-Signature:

 

Please allow 4-5 working days for processing.



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