Transportation Request Form

The policy of Elk Rapids Public Schools is to provide safe and efficient transportation services to eligible students. In order to route safely and efficiently, it is critical that the Transportation Department know which eligible students will be riding the bus. If you have questions concerning this form, please call the Transportation Office at 231-264-9321

Please complete the form below for each student.

School Year:

Student Information:

First Name:


Middle Name:


Last Name:


Date of Birth:
Month:
/

Day:
/
Year:


School:


Grade:

My child will NOT require transportation. (Please complete the student information section, school and grade above, and the parent information at the bottom)


My eligible child WILL require transportation to/from our PRIMARY ADDRESS listed below for the following times:
AMNOONPM
MONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAY

Primary Home Address:


Mailing Address if Different:


City:


Zip:


Parent Contact Phone:


My eligible child WILL require transportation to/from an ALTERNATE ADDRESS listed below for the following times: (Other than our primary physical address listed above)

AMNOONPM
MONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAY

Alternate Address:


Alternate City:


Alternate Zip:


Contact Person at Alternate Address:


Alternate Contact Phone:

Parent/Guardian Name: (required)

Parent Email: (required)

Date: