DAY CARE PROVIDER / JOINT CUSTODY BUS STOP REQUEST

 
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  This form is used to request a different bus stop for students using day care or for parents who have joint custody and are requesting different bus stops.

All pick-up/drop off locations must be within Lincolnshire-Prairie View School District 103 boundaries.

Requests approved based on seating availability.

Requests that have a different drop-off/pick up location on multiple days during the week cannot be guaranteed for approval, and any such request that lengthens the route time will be denied.

It is the responsibility of the parent/guardian to ensure the child is aware of the bus route number that he/she rides each day (especially critical when the request necessitates a different bus route number from day to day).

New/additional bus stops will not be created. (Students will be assigned to the closest existing bus stop.)

It is the responsibility of the parent/guardian to ensure safe passage to and from the bus stop.

At day care facilities, an adult employee/member of the day care must be outside at the bus stop to meet the bus both in the morning and afternoon.

A separate request must be entered for each student.
   

 
  STUDENT INFORMATION
   
1.
*
 (%999,999)
 
   
2.
*
 
   
3.
*
 
   
4.
*
 
   
5.
*
 
   

 
  PARENT/GUARDIAN INFORMATION
   
6.
*
 
   
7.
*
 
   
8.
*
 
   

 
  REQUEST
   
9.
 
   
10.
*
  Select Date
mm/dd/yyyy
   

 
  INSTRUCTIONS
   
  Please enter the information below. If the time of day does not pertain to your request, please skip that time of day. For Joint Custody request, please skip directly to question 20.
   

 
  MORNING PICK UP
   
11.
 
   
12.
 
   
13.
 
  
  
  
  
  

    
   

 
  MIDDAY PICKUP/DROP OFF
   
14.
 
   
15.
 
   
16.
 
  
  
  
  
  

    
   

 
  AFTERNOON DROP OFF
   
17.
 
   
18.
 
   
19.
 
  
  
  
  
  

    
   

 
  JOINT CUSTODY REQUESTS
   
20.
 
   
21.
 
   
22.
 
   
23.
 
   

 
24.
 
   
 
 
 
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