 |
TRANSPORTATION FORM |
DATE:
LAST NAME: SEX: F M GRADE:
FIRST NAME: HOME PHONE:
MIDDLE NAME: EMERGENCY PHONE:
DATE OF BIRTH: CELL PHONE:
PARENT/GUARDIAN:
CURRENT STREET ADDRESS:
NEW STREET ADDRESS:
EXACT LOCATION OF YOUR HOME:
NAME OF NEAREST CROSS ROAD/INTERSECTION TO YOUR HOME AND APPROXIMATE DISTANCE FROM IT:
DISTINGUISHING LANDMARKS OR ADDITIONAL INFORMATION WHICH CAN HELP BETTER LOCATE YOUR HOME:
DO YOU HAVE A BROTHER OR SISTER ATTENDING LITTLE EGG HARBOR SCHOOL DISTRICT?
BUS STOP AND BUS NUMBER HE/SHE IS USING NOW:
OFFICE USE ONLY Start Date: School: New Student:
Change Of
Address:
Locator Code: Bus Stop: Time: |
Bus Number:
