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PCES and PCMS change of transportation requestPosted Thursday, January 22, 2009 by April Smith Phone: (706) 485-5141
Fax: (706) 485-4147
Student ________________ Age ___ Date _____
Teacher _____________ Grade _______
TODAY’S DATE: ______________
Today my child will ride bus # _______ to _______________________
or ride in a car driven by________________
My child usually rides bus # ____ to ____________________________
Place or address
or usually rides in a car driven by_______________________________
Address _________________________________________________
___This will be until further notice.(please check if this is from now on)
Home Phone _____________________________
Work Phone _____________________________
Parent/ Guardian (Print) ____________________________________
Parent/ Guardian (Signature) ________
BUS CAR
Please circle above (on this form) which type of transportation is being used today. Rev. 1/3/06  |
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