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Complete this form when your child will be going home from school a different way than usual.
Date ____/____/____
Student Name ___________________________________
Student’s Class: Miss Kurtz (1st )
Usual afternoon transportation plans:
My child normally: (check the appropriate box)
rides bus # _____.
goes to the Y after school program.
goes to the car loop.
walks home.
Today’s afternoon transportation plans:
_______________________________________
_______________________________________
(Note: If a student is going home with another student BOTH students MUST have a parental note indicating the change; otherwise the students will both be sent home in the normal manner.)
Parent SignatureX_________________________
