Courtesy Rider Request

This form is for students who are not eligible for standard bus transportation but would like to request courtesy ridership if space is available during the 25/26 school year. Approval is not guaranteed and is subject to seat availability, existing bus routes, student behaviors and district transportation policies.

Courtesy riders may be assigned or removed at any time based on capacity and eligibility changes. Parents/guardians are responsible for providing transportation until they receive official approval.

By submitting this request, you acknowledge that courtesy ridership is a privilege, not a right, and may be revoked if conditions change.

School

Grade

Last Name

First Name

Student ID

Parent Information

Last Name

First Name

Home Phone Number

Relationship

Student Address

Street #

Street Name

City

Zip Code

Bus Stop Type

BOTH

Submitted by

By signing below, I acknowledge that I have read and understand the conditions of the Courtesy Rider Request. I understand that approval is not guaranteed and that ridership may be revoked if conditions change. Select all options

Last Name

First Name

Courtesy Rider Request

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