Accessible Busing Registration

Parents/guardians are asked to complete this application form annually to ensure the information for your child is accurate. Accessible bussing is offered to students who meet one or all of the following requirements: has a dependent handicap, attends an Inclusive Education district program at one of the secondary schools (Life Skills, Prep), and/or has received prior approval from the Director or District Principal of Inclusive Education due to extenuating circumstances.

Student Information

Student's First Name:*

Student's Last Name:*

Student's Date of Birth:*

School Attending:*

Student's Grade:*

Student's Primary Address

Suite / Apartment Number (if applicable)

Street Address*

City*

Province*

Postal Code*

For this address, when is busing required?*

In the morning (AM)

In the afternoon (PM)

Both AM and PM

Is there an alternative address that requires busing?*

Yes

Is the student at another address either for Shared Custody or Childcare reasons? (that requires busing)

Alternative Address

Reason for Alternative Address:*

Shared Custody

Childcare

Reason for Alternative Address:*

Shared Custody

Other - please include details below

Describe the reason for the alternative address:*

Student's Alternative Address

Suite / Apartment Number (if applicable)

Street Address*

City*

Province*

Postal Code*

For this alternative address, when is busing required?*

In the morning (AM)

In the afternoon (PM)

Both AM and PM

Parent/Guardian Information (1st)

Parent/Guardian's Name:*

First Last

Parent/Guardian Email:*

Parent/Guardian Cell Phone:*

Parent/Guardian Home Phone: (optional)

Add another Parent/Guardian?*

Yes

Parent/Guardian Information (2nd)

Parent/Guardian's Name:*

First Last

Parent/Guardian Email:*

Parent/Guardian Cell Phone:*

Parent/Guardian Home Phone: (optional)

Add another Parent/Guardian?*

Yes

Parent/Guardian Information (3rd)

Parent/Guardian's Name:*

First Last

Parent/Guardian Email:*

Parent/Guardian Cell Phone:*

Parent/Guardian Home Phone: (optional)

Special Medical Instructions

Please add any additional information you think is important for us to know - such as medical alerts, allergies, etc.

Parent / Guardian's Signature:*