Fillable 20-21 Preschool Transportation Form - English

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20-21 Preschool Transportation Form - English

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Country of origin: US
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School Office Only
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AM Preschool
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PM Preschool
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Full Day Preschool
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Kindergarten
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IEP, Special Transportation
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Other
2020/2021 Transportation Registration
Student Name:
School: Grade:
Home Address: Zip: __________________
Parent / Legal Guardian: ______________________________________________________________________
Home Phone: Cell Phone: Work Phone: ___________________
Requested Date for Transportation Start: _______________________
Please complete for pick up and drop off for each day. (The Olympia School District may not be able to accommodate very complex schedules.)
Transportation To School (Pick Up)
Mon
Tues
Wed
Thurs
Fri
No bus required
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Home Pick Up
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Alt. Address
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Alt. Address Name:
Street:
Phone:
Transportation After School (Drop Off)
Mon
Tues
Wed
Thurs
Fri
No bus required
□
□
□
□
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Home Drop Off
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Alt. Address
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Alt. Address Name:
Street:
Phone:
KINDERGARTEN PARENTS
I understand that an adult or older sibling must wait at the bus stop for pick-up to go to school, and that families should arrive 5
minutes before the bus stop time. I also understand that the Olympia School District will not release a kindergarten student at the
end of his/her school day without an adult or older sibling. An adult must come to the school to retrieve the kindergartener to walk,
ride a bicycle or ride a city bus to a destination. Further, I understand that if my child rides the school bus from school, an adult or
older sibling must meet the school bus, or my child will not be released by the bus driver. As with morning pick-up, I understand
that the adult/sibling should arrive 5 minutes before the bus stop time for afternoon drop-off.
PRESCHOOL PARENTS
I understand that the Olympia School District will only release a preschool student at the end of his/her school day to a
parent/guardian/or other pre-authorized designee. Further, I understand that if my child rides the school bus from school, a
parent/guardian/or other pre-authorized designee must meet the school bus, or my child will not be released by the bus driver.
Printed Name of Parent/Guardian:
Signature of Parent/Guardian: Date: ____________________
Individuals Authorized to Meet the Bus, or Pick-up my Child
Name
Relationship
Day Phone
Cell Phone
Transportation or Special Needs Office Only
Special Equipment: □
Wheel Chair
□ Booster
□ Harness □ Car Seat
□ Other:
AM Rt.:
Stop Location: PM Rt.:
Stop Location:
OSD Staff Case Manager: _______________________________________
Phone: ___________________
Notes:
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20-21 Preschool Transportation Form - English

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Completed 16 March 2021

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