My Child's name: _______________________________________
Student I.D. # (required): ____________________
My child's homeroom teacher: ______________________
Grade: _________
This is a temporary change for the following date(s): _______________________
- Select an Option Below:
- __ My child will ride bus# ___ home to the following address:
- __ My child will be a car rider. Car rider # ___ , picked up by
- __ My child will go to Day Care ______________________
- __ My child will be a walker.
Print parent name: _________________________________
Parent Phone Number: ______________________
Parent Signature: ________________________________
Date: ______________________________
Note: This request must be received by his/her teacher on the day of the change BEFORE 1:30 PM for regular school days and 10:30 AM on Early Release Days. Emails and phone calls will NOT be accepted for a change of transportation. All faxed notes must include an official picture ID. Contact the front office with any questions or concerns at 770.446.0947.
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