Date Received by School Site:_________________________________________ Woodlake Unified School District Transportation Registration, Change of Address and Parent Request for Other than Home Form Check one of the following: Transportation Registration Change of Address Other Than Home Bus Stop Notes: 1. ONLY 2 bus stops will be approved (1st – regular bus stop, 2nd - other than home bus stop) 2. This form must be completed and returned to your child’s school office two weeks in advance. (approval may take up to 2 weeks if a new bus stop needs to be approved by Superintendent) Date_________ Teacher____________ Grade______ School Site______________ Requesting Transportation for(check one): AM/PM AM Only PM Only Student Name_______________________________________________________ Home Address ______________________________________________________ Telephone Number___________________________________________________ For Other Than Home Only Child Care’s Name____________________ Telephone Number______________ Child Care’s Home Address____________________________________________ Signatures (must be signed): Parent / Guardian____________________________ Transportation Director________________________ Office Use Only Start Date: ___________ Date confirm: _____________________________ Bus Color___________________ Drop off Stop___________________ C:\Users\rruiz\Desktop\New folder\Transportation, Other Than Home, change of address.docx Date Received by School Site:_________________________________________ Distrito Escolar Unificado de Woodlake Forma de Registro para Transportación, Cambio de Domicilio y Solicitud para Otra Parada que no es la Parada Regular Marque una de las siguientes: Registro para Transportación Cambio de Domicilio Otra Parada que no es la Parada Regular Notas: 1. SOLAMENTE se aprovaran 2 paradas (1 – parada regular, 2 – otra parada que no es la parada regular) 2. Esta forma debe de ser completada y regresada a la oficina de la escuela de su hijo/a con 2 semanas de adelanto. (la aprovación puede tomarse hasta 2 semanas cuando una parada de autobús nueva tiene que ser aprovada por el Superintendente) Fecha_________ Maestro/a____________ Grado______ Escuela_____________ Solicitud de Transporte para (marque una): AM/PM AM Solamente PM Solamente Nombre de Estudiante _________________________________________________ Domicilio __________________________________________________________ Numero de Telefono__________________________________________________ Para Otra Parada que no es la Parada Regular Solamente: Nombre de la Niñera_____________________Número de Telefono____________ Domicilio de la Niñera________________________________________________ Firmas (debe ser firmada): Padre / Guardian___________________________ Director de Transportación___________________ Office Use Only Start Date: _____________ Bus Color ________________ Date confirm: _____________________________ Drop off Stop _______________ C:\Users\rruiz\Desktop\New folder\Transportation, Other Than Home, change of address.docx