Eastvalley Elementary
Change in Transportation Form
Requested date of change ___________________________
Student’s Name ___________________________________
Class: Kindergarten Teacher : Mrs. Fortune
___ My child needs to ride the bus to the following location:
Address _____________________________________
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Bus # )__________ Driver _______________________
___ My child will attend the After School Program today.
___ My child will be a car rider today. He / She will ride home with _________.
Parent Signature ______________________ Date ________
Reason for request__________________________________
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If there is a problem you can reach me at; _________________
Comments:_________________________________________
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