Student First Name*

Student Last Name*

Grade*

Transportation Information

CAR ONLY?

Please check this box if your child does NOT ride a bus.

Car drop off and pick up ONLY

Bus Information

School District

Bus Company

AM Bus Route

AM Bus Number

PM Bus Route

PM Bus Number

Parent Phone

Phone number where parent can be reached in case a student misses the afternoon bus home.

If your child misses the afternoon bus or there is an early school closing and you are not able to be reached, please give an alternate person who could assist in locating you or who could come to the school to pick up your child:

Contact Name

Contact Phone

In the event that the school closes early due to inclement weather, your child will call you and confirm the arrangements you have indicated below. In the event you are unreachable, we will follow the plan you have indicated below.

We strongly encourage parents to have a conversation with their child regarding this issue so that s/he is clear about what should be done in the event of inclement weather/early school closing. It is imperative that we have this form filled out by each Middle School parent so that we know exactly what you want your child to do.

In case of Early Dismissal from School...*

Please choose only one.

My child should take the district bus. My child has permission to ride with an older sibling who drives. My child should NOT get on the district bus, but should wait to be picked up. My child is normally picked up by car and I will plan to pickup as usual. My child has permission to ride with another Friends Academy parent (see below).

Allowed Parent

Enter the name of the FA Parent who is allowed to pick up your child in the event of an early dismissal.

Please send a confirmation email to the address below*: