CLOUDCROFT SCHOOLS TRANSPORTATION DEPARTMENT

TO: Transportation Department

From: Parents

Subject: Change in Drop-Off or Pick-Up Form

When any changes need to be made for a student who currently is riding a school bus, the Parents shall request such a change in writing at least TWO (2) DAYS prior to the date of change. Please print the change in drop off form and fax it to us at (866) 405-0833 or bring it to our office. The form must have a parent/guardians signature on it and form must be complete. In order to change the location of a bus stop it must be within the same school district. (We are not able to transport students who are out of district.)

Phone calls will NOT be accepted.

Student Name: ____________________________________________________________________________________________

School: ____________________________________________________________________________________________________

Grade: ______________________________________

Parent Names:_____________________________________________________________________________________________

Ph #: ____________________________ Cell Ph #: __________________________ Fax Ph #: __________________________

Address: __________________________________________________________________________________________________

Student current Bus # : ________ Current Bus Stop: ______________________________________________________

Request permission to ride Bus #:__________ at Bus Stop: _______________________________________________

My child will be: Pick up: __________ Dropped off: __________ Picked up AND Dropped off: ___________

Caretaker’s Name: _________________________________________________________Ph #: _________________________

Caretaker’s Address: _____________________________________________________________________________________

Reason for Change: _______________________________________________________________________________________

Beginning Date requested:__________________________ Ending Date or School Year: ______________________

Parent’s Signature: ________________________________________________________________________________________

Transportation Approval: Date: ______________________________________