VCS Transportation Registration | 2022-2023

Student Name Student Name First Last
Student Cell Student Cell - ### - ### ####
Student Grade
Student Name Student Name First Last
Student Cell Student Cell - ### - ### ####
Student Grade
Student Name Student Name First Last
Student Cell Student Cell - ### - ### ####
Student Grade
Student Name Student Name First Last
Student Cell Student Cell - ### - ### ####
Student Grade
Parent/Guardian Name Parent/Guardian Name First Last
Parent/Guardian Name Parent/Guardian Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
AM Stop Number
AM Stop Name
Usage

Usage Monthly Occasional Use
PM Stop Name
PM Stop Number
Usage

Usage Monthly Occasional Use
OK to leave at stop?

OK to leave at stop? Yes No
Optional Swap Stop (required only if you need more than one stop)
Stop Number
Stop Name
Usage

Usage Monthly Occasional Use
OK to walk from stop alone?

OK to walk from stop alone? Yes No
*If no, person(s) other than parents to release student to:
RULES FOR BUS SCHOOL SAFETY
● Arrive at the bus stop 5 minutes before the time posted.
● While your child is waiting , please remind them to mind other people’s property.
● Wait for the bus in a safe place and stand 15 feet back, away from the curb at the bus pick-up location.
● Take your seat as quickly as possible after boarding the bus.
● Remain properly seated with your feet in front of you and facing the front at all times.
● Keep hands, arms, and head inside the bus at all times.
● Enter and exit the bus carefully and use the handrail.
● Notify the driver if you need to cross the street and wait to cross until the driver has checked that it is safe to do so.
● Display respectful behavior and use appropriate language at all times.
● Request bus driver assistance to retrieve any items dropped under or near the bus.
● Never chase the bus , please for any reason.
● Keep all personal belongings inside your backpack.
● No food, drinks, or gum are allowed on the bus.
● Animals and insects should not be transported on the bus.
● Glass containers, projects, or large objects should not be transported on the bus.
● Use of cell phones, tablets, or other electronic devices is permitted as long as devices are on silent mode or only one ear bud is used to allow for any instructions from the bus driver to be heard by all passengers.

Students shall follow all rules and instructions from their driver at all times. Thank you for your cooperation.
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By signing below:
I acknowledge that my child(ren) and I have received, read and understand the rules for riding the bus. My child (ren) and I understand that riding the bus is a privilege and therefore agree to support and abide by the established rules.
Name Name First Last
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Relation to Student(s)
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