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Bus/Car Rider Change Request

Please complete the form below. Required fields marked with an asterisk *

Student's Name*

Answer required for "Student's Name"

Grade*

Answer required for "Grade"

Parent's Name (Must be on file as authorized parent)*

Answer required for "Parent's Name (Must be on file as authorized parent)"

HomeRoom Teacher*

Answer required for "HomeRoom Teacher"

Parent's email address (email on file for your student's registration*

Answer required for "Parent's email address (email on file for your student's registration"

Phone Number where parent can be reached for verification if needed*

Answer required for "Phone Number where parent can be reached for verification if needed"

Transportation Changes Requested (Must include new address for drop off)*

Answer required for "Transportation Changes Requested (Must include new address for drop off)"

Permanent

Temporary - Just today

Other

Transportation Changes Requested (Must include new address for drop off)*

Answer required for "Transportation Changes Requested (Must include new address for drop off)"