Holton-Arms School

Bus Transportation Guest Rider Request

2024 - 2025

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

Date(s) of requested changerequired

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

Is this student currently registered for bus service?*

Yes No

Student's usual bus service*

Morning only Afternoon only Round Trip

Registered student's bus stoprequired

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

Bring a guest on their morning bus Bring a guest on their afternoon bus Bring a guest on both their morning and afternoon bus Ride a different afternoon bus as the guest of a friend

Full Name of Guest Riderrequired

Guest Graderequired

I understand that the parent of my student's requested guest must also submit a Transportation Guest Rider 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 confirm that I will be 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 friend (registered bus rider) with whom my student will ride as a guestrequired

Bus friend graderequired

Bus Stop for Guest Riderrequired

Name of friend (registered bus rider) with whom my registered bus student will ride as a guestrequired

Bus Host friend graderequired

Bus Stop for My Student as Guest Riderrequired

I understand that the parent of the registered bus rider with whom my student is requesting to ride must also submit a Transportation Guest Rider Request form.

The Transportation Office will not approve any request for guest rider unless each parent involved submits a Transportation Change Request.

By submitting this form, I confirm that my student will be supervised by the parent of the registered bus rider.

I understand that the parent of the registered host bus rider with whom my registered bus rider student is requesting to ride must also submit a Transportation Guest Rider Request form.

The Transportation Office will not approve any request for guest rider unless each parent involved submits a Transportation Change Request.

By submitting this form, I confirm that my student will be supervised by the parent of the registered host bus rider.

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 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