Transportation Change Request

Parents notify the school of a one-day or permanent change in how their child gets home.

form exemplar family-communication transportation dismissal

Transportation Change Request

JaxForm

Transportation Change Request

Please use this form to notify the school of any changes to how your child will be dismissed on a specific day or permanently. Your communication helps us ensure your child’s safe dismissal.
Student’s Name*
First
Last
Date(s) of Change*
e.g., ‘October 26th only’, ‘Every Friday until December’, ‘Permanent change starting Nov 1’
Normal Dismissal Method*
  • Bus
  • Car Rider
  • Walker
  • After-Care Program
  • Other
New Dismissal Method*
  • Bus
  • Car Rider
  • Walker
  • After-Care Program
  • Other
Additional Details
Please include bus number, name of person picking up (if different from parent/guardian), or any other important information.
Parent/Guardian Name*
First
Last
Parent/Guardian Phone*

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