ASPEN VIEW PUBLIC SCHOOLS

ALTERNATE TRANSPORTATION REQUEST FORM

NOTE:All alternate site requests must be applied for annually.

NOTE:Minimum 3 business days required for processing prior to transportation.

This form is to be used when a parent/guardian requires any alternate/unusual transportation arrangements for a period of4 days
or more throughout the school year. Upon submission of the form, you will receive a copy of this form in its completion if you
provide a valid email address and a copy will be delivered to the Student Transportation Department, they will contact you upon
the processing of this request.

Select reason for Alternate Transportation Request: *

Second Primary Residence

Drop off or pick up at a location other then the student's residence (or usual point of pick up or drop off on the same route)

Riding a different bus morning and afternoon

Effective Date:*

Alternate Contact First Name:

Alternate Contact Last Name:*

Home Phone Number:*

Cell Number:

Student Last Name: *

Student First Name: *

Grade:*

Name of School Attending:*

Regular Bus Route Number:

Does your child(ren) have any medical information that you would like to share with your bus driver? *

YES

NO

Information to share with your bus driver (i.e. child care schedule, student medical information, joint custody, ) :*

It is the parents/guardians' responsibility to inform both the bus driver and the school of their child's schedule.

ALTERNATE LOCATION:

Street Address:

When living in a rural area, you MUST provide both your Rural Gate Address and Legal Land Location: *

Rural Gate Address:

Municipality or County:

Legal Land Location:

Please Note:

- Regular bus routes will not be extended to accomodate Alternate Transportation Requests.

- Alternate Transportation Requests may not be approved until after the second week of the new school year because we         
        must determine if there is room on the bus to accomodate the child(ren).

- If the bus becomes full and more space is needed for eligible riders your approval may be revoked.

By entering my information below and submitting this form, I acknowledge that I am requesting student transportation
services for the student(s) listed above, that the information provided is complete and accurate, and I agree to pay any
applicable student transportation fees.

* Parent/Guardian Name:

* Parent/Guardian e-mail Address

* Parent's Phone Number:

The personal information contained on this form is collected under the authority of the School Act and of Alberta's Freedom of
Information and Protection of Privacy Act for the purposes noted above. If you have any questions about this collection, please
contact the school principal.

If you have questions, please email Transportation@aspenview.org