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Space Available Bus Transportation Form

Required

Student Legal Namerequired
First Name
Last Name
Multiple ChoicerequiredPlease select up to 1 choice
Please select up to 1 choice
Graderequired
Requesting Transportation (check one) required
I request that the Lorain Board of Education consider transporting my child, named above, who lives within the designated walking area for our school district. I understand that ridership will be on a space available basis and that priority will be given to the youngest students who live the greatest distance from school. I also understand that my child may be bumped by an eligible rider at any time. I understand that this service will begin approximately only after I receive confirmation from the Transportation Department. I further understand that students will be required to walk to an existing stop in a transportation eligible zone within 1/2 mile of my residence. I understand that the bus stop must be at the same location for both am and pm. Existing bus routes will not be modified to accommodate this request.
Parent Guardian Signaturerequired
First Name
Last Name
Must contain a date in M/D/YYYY format