CLAYS MILL ELEMENTARY TRANSPORTATION VERIFICATION FORM 2018-2019 Student Name Address Phone Number Grade Teacher MORNING TRANSPORTATION OPTIONS (check appropriate options) Bus Rider Car Rider Walker Bus Number: Every day Every day ☐ ☐ Bus Stop: Select Days Select Days ☐ ☐ Monday Monday ☐ ☐ Tuesday Tuesday Every day ☐ ☐ ☐ Wednesday Wednesday Select Days ☐ ☐ ☐ Thursday Thursday Monday ☐ ☐ ☐ Friday Friday Tuesday ☐ ☐ ☐ Wednesday ☐ Thursday ☐ Friday ☐ AFTERNOON TRANSPORTATION OPTIONS (check appropriate options) Bus Rider Car Walker Day Care Van Cats Club After School Program Bus Number: Every day Front Door Day Care: day ☐ ☐ ☐ Bus Stop: Select Days (toward Cardinal Lane Select Days ☐ ☐ side of CME) Monday Monday ☐ ☐ Back Door ☐ Tuesday Tuesday ☐ ☐ (toward Mary Queen / Wednesday Wednesday Southland Park side of ☐ ☐ CME) Thursday Thursday ☐ ☐ day Every day Every day ☐ ☐ ☐ Friday Friday ☐ ☐ Select Days Select Days Select Days ☐ ☐ ☐ Monday Monday Monday ☐ ☐ ☐ Tuesday Tuesday Tuesday ☐ ☐ ☐ Wednesday Wednesday Wednesday ☐ ☐ ☐ Thursday Thursday Thursday ☐ ☐ ☐ Friday Friday Friday ☐ ☐ ☐ Office Use Only: _____NT Not Transported _____T1 Twice daily at least 3 times per week _____T3 Once daily at least 3 times per week
CLAYS MILL ELEMENTARY TRANSPORTATION VERIFICATION FORM 2018-2019 Student Name Address Phone Number Grade Teacher MORNING TRANSPORTATION OPTIONS (check appropriate options) Bus Rider Car Rider Walker Bus Number: Bus Stop: ☐ Every day ☐ Select Days ☐ Monday ☐ Tuesday ☐ Wednesday ☐ Thursday ☐ Friday ☐ Every day ☐ Select Days ☐ Monday ☐ Tuesday ☐ Wednesday ☐ Thursday ☐ Friday ☐ Every day ☐ Select Days ☐ Monday ☐ Tuesday ☐ Wednesday ☐ Thursday ☐ Friday AFTERNOON TRANSPORTATION OPTIONS (check appropriate options) Bus Rider Car Walker Day Care Van Cats Club After School Program Bus Number: Bus Stop: ☐ Every day ☐ Select Days ☐ Monday ☐ Tuesday ☐ Wednesday ☐ Thursday ☐ Friday ☐ Front Door (toward Cardinal Lane side of CME) ☐ Back Door (toward Mary Queen / Southland Park side of CME) Day Care: ☐ day ☐ Select Days ☐ Monday ☐ Tuesday ☐ Wednesday ☐ Thursday ☐ Friday ☐ day ☐ Select Days ☐ Monday ☐ Tuesday ☐ Wednesday ☐ Thursday ☐ Friday ☐ Every day ☐ Select Days ☐ Monday ☐ Tuesday ☐ Wednesday ☐ Thursday ☐ Friday ☐ Every day ☐ Select Days ☐ Monday ☐ Tuesday ☐ Wednesday ☐ Thursday ☐ Friday Office Use Only: _____NT Not Transported _____T1 Twice daily at least 3 times per week _____T3 Once daily at least 3 times per week