(Area Code) (Phone Number)
Last Chance Bus Riding Agreement
This is a last chance agreement for the privilege of riding a (School District)
school bus. Due to problems on the school bus, the student named below, will
be required to sit in the seat assigned by the driver, follow the driver’s
instructions without question, and follow all bus/school rules and procedures.
Failure to comply with the above will result in bus privilege suspension for the
remainder of the school year, or for thirty school days, whichever is longer,
from any (School District) school bus. [Note- this may carry over to the next
The student acknowledges previous bus related problems and understands that
it will be their responsibility to comply with this agreement.
All parties agree to cooperate in good faith to make this last chance agreement
Student - Printed Name
Student Signature Date
Principal/Assistant Principal Date
Director of Transportation Date