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Gateway Lab School Transportation Form

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

Gateway Lab School Student Transportation Information

Student Name*

Answer required for "Student Name"

Grade*

Answer required for "Grade"

Teacher*

Answer required for "Teacher"

Parent/Guardian Contact Information

First Name

Answer required for "First Name"

Last Name

Answer required for "Last Name"

Mobile Phone

Number Required

Alternate Phone

Number Required

Address

Street Address

Answer required for "Street Address"

City

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

MY CHILD WILL:

Answer required for "MY CHILD WILL:"

Ride the bus both morning and afternoon.

Ride the bus only in the morning and be picked up in the afternoon.

Ride the bus only in the afternoon and will be dropped off in the morning.

Be dropped off in the morning and picked up in the afternoon (CAR RIDER).

IF CHILD WILL BE RIDING THE BUS, PLEASE PROVIDE THE FOLLOWING INFORMATION:

Bus Route #*

Answer required for "Bus Route #"

Pick up Location

Answer required for "Pick up Location"

Drop off Location*

Answer required for "Drop off Location"

Drop Off Instructions*

Answer required for "Drop Off Instructions"

Adult will meet student at bus stop

Child permitted to walk home from bus stop

By typing in my name below, I certify that this information is acurate.

Parent/Guardian Signature (Please type your name in the box below)*

Answer required for "Parent/Guardian Signature (Please type your name in the box below)"

Effective date*

Answer required for "Effective date"

Confirmation Email

Answer required for "Confirmation Email"