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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

Grade*

Answer Required

Teacher*

Answer Required

Parent/Guardian Contact Information

First Name

Answer Required

Last Name

Answer Required

Mobile Phone

Number Required

Alternate Phone

Number Required

Address

Street Address

Answer Required

City

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Zip/Postal

Answer Required

MY CHILD WILL:

Answer Required

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

Pick up Location

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Drop off Location*

Answer Required

Drop Off Instructions*

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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

Effective date*

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Confirmation Email

Email Required