Request for Out of Distict Transportation

Digital Form Submission

Required

Forms must be received by August 1st. Requests must be submitted annually.

Bus stops are determined by the nearest existing bus stop. Special requests: 401-348-9430
If not registerd in Westerly or address has changed, contact Central Registration: 401-315-1502

Student Namerequired

First Name

Last Name

Student Home Address: Streetrequired

Student Home Address: City, State, Zip Coderequired

School To Be Attended required

Graderequired

School Yearrequired

Transportation RequirementsrequiredPlease select required transportation.

Please select required transportation.

Parent/Guardian #1required

First Name

Last Name

Parent/Guardian Email Address*required

Correspondence will be sent to this email you provide.

Parent/Guardian Primary Phonerequired

Primary/Guardian Secondary Phone

Parent/Guardian #2

First Name

Last Name

Parent/Guardian Email Address

Parent/Guardian Primary Phone

Primary/Guardian Secondary Phone

Emergency Contact #1required

First Name

Last Name

Phone Numberrequired

Alternate Phone Number

Relationship To Studentrequired

Emergency Contact 2required

First Name

Last Name

Phone Numberrequired

Alternate Phone Number

Relationship To Studentrequired

Medical Information & Authorization0 / 1000

Allergies/ Special Health Considerations

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Request for Out of Distict Transportation

Digital Form Submission

Forms must be received by August 1st. Requests must be submitted annually.

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