Holton-Arms School

Bus Transportation Change Request /
Guest Rider Request

2023 - 2024

Transportation change requests must be submitted in advance, as early as possible, but no later than noon on the school day before the change is planned.

Guest Rider requests should be submitted 48 hours in advance, and require a form by both the host and guest rider.

Transportation changes must be approved in writing by the Transportation office.

Student First Namerequired

Student Last Namerequired

Student Graderequired

Parent Full Namerequired

Parent_emailrequired

Parent phonerequired

Is this student currently registered for bus service?*

Yes No

Student's usual bus route and stoprequired

Student's usual bus service*

Morning only Afternoon only Round Trip

Date(s) of requested changerequired

Examples: Monday, Mar 6; Week of Mar 13-17

On the date(s) noted above, my student would like to*

Change bus stop on usual morning route Ride a different morning bus Bring a guest on their morning bus Change bus stop on usual afternoon route Ride a different bus home (pick up by parent) Ride a different bus home with a friend Bring a guest on their afternoon bus

Bus Route for Requested Changerequired

Bus Stop for Requested Changerequired

Name of friend with whom my student will ride homerequired

Note: Parent of friend must also fill out a Transportation Change request form.

Full Name of Guest Riderrequired

Guest Graderequired

I understand that the parent of my student's requested guest must also submit a Transportation Change Request form. The Transportation Office will not approve any request for guest rider unless each parent involved submits a Transportation Change Request.

If this request is for a guest on an afternoon bus, I understand that I am responsible for supervision of the guest rider when the guest and my student exit the bus.

On the date(s) noted above, my student would like to*

Ride a morning bus to school with a friend Ride an afternoon bus home with a friend

Name of bus rider friendrequired

Bus friend graderequired

Bus Route for Guest Riderrequired

Bus Stop for Guest Riderrequired

I understand that the parent of the bus rider with whom my student is requesting to ride must also submit a Transportation Change Request form. The Transportation Office will not approve any request for guest rider unless each parent involved submits a Transportation Change Request.

I understand that students riding Holton-Arms School buses are required to follow all established safety rules as defined in the Bus Behavior Expectations of the Transportation Information Handbook.

I further understand that Holton-Arms School buses are considered an extension of the Holton-Arms campus. All elements of the Holton Honor Code, School Rules, Behavior Expectations apply to students on school buses just as they do when a student is in school.

I understand that my electronic submission of this form and my check in the box below is intended to be, constitutes, and is equivalent of my personal signature.

By checking this box you agree to the terms above*

I agree

Please send a confirmation email to the address below*:

Holton-Arms School

Bus Transportation Change Request / Guest Rider Request

Bus Transportation Change Request /
Guest Rider Request