Fillable Alternate Bus and Bus Stop Permission Slip (Chesapeake Public Schools)

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Alternate Bus and Bus Stop Permission Slip (Chesapeake Public Schools)

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Chesapeake Public Schools
Transportation Department
1021 Great Bridge Boulevard
Chesapeake, Virginia 23320
Alternate Bus and Bus Stop Permission Slip
School:
This is a one‐time permission slip for the student referenced below to ride a bus other than their
regularly assigned bus to travel to an alternate bus stop, or both.
Assigned Bus
End Date:
Date
Date
Student’s Name:
Address:
Phone Number:
Assigned Stop:
ALTERNATE BUS INFORMATION
Bus #:
Begin Date:
Bus Stop Drop Off Location:
Name of Student going home with (if applicable):
Parent/Guardian Daytime Phone #:
Parent/Guardian Signature(Handwritten Signature Required)
Principal/Designee Signature
The Chesapeake Public School System is an equal opportunity school system.
The School Board of the City of Chesapeake also adheres to the principles of equal opportunity in employment and, therefore, prohibits
discrimination in terms and conditions of employment on the basis of race, sex, national origin, color, religion, age, or disability.
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Alternate Bus and Bus Stop Permission Slip (Chesapeake Public Schools)

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Completed 23 March 2021

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