604 Bus Pass Application Grande Prairie District

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604 Bus Pass Application Grande Prairie District Powered By Docstoc
					                                                                                                       604 - Bus Pass Application



                                      Grande Prairie & District Catholic Schools #28


                                                                 BUS PASS APPLICATION

                             First Student Bus                             Transit (St. Joes only)        County Transportation

DATE:                                                                          Please complete one application per child


I declare that the information below is correct.

My child will be riding the bus for the following months during this school year:



PLEASE PRINT

Name:                                                            School:
                   First & Last Name

Grade:                                                           Home Phone:


Home Address:
                                  Street or Legal Land              City/Town/Province                                 Postal Code
                                                     (Not the Babysitter's Address)

Mailing Address: (If different from Home Address)


                     Street or P.O. Box #                                  City/Town/Province                          Postal Code

  NOTE: To qualify for a bus pass you must live more than 2.4 km from your designated school. Students in grades 1-3
             can qualify for a bus pass if they reside more than 1.7 km from your designated school. If your son/daughter
             needs to be transported across 68th Avenue or 108 Street (Wapiti Road), you also qualify for a bus pass.


       Parent or Guardian's signature:

                                                             For Office Use Only

                                                     Entered
              Over 2.4 km
                                                    into SIRS                       Date:            Bus Pass #


         Over 1.7 km but                                                                             Cancel Bus
            under 2.4 km                                                            Date:              Pass #

                                          Transported across
              Approved by                 68th Avenue or 108                                         Duplicate
 Transportation Supervisor                Street (Wapiti Road)                      Date:            Bus Pass #

                                                                                                                  Revised March 2009

				
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Description: Babysitter Application Forms document sample