DBES "Giddy Up and Go" Transportation Form 2020-2021

Student's Name Student's Name First Last
Student's Grade Level
Teacher's Name Teacher's Name First Last
Parent's Name Parent's Name First Last
Daytime Phone Daytime Phone - ### - ### ####
Parent's Email Address
MORNING
My child will ARRIVE at school in the following manner:

My child will ARRIVE at school in the following manner: Bus Rider Walker/Bike Rider Car Rider Daycare Van PLACE
If walking, my child will arrive at the:

If walking, my child will arrive at the: Front Gate Back Gate/Foxwood
If riding Daycare Van please provide the name of the van below. (morning)
Bus Number (morning)
AFTERNOON
My child will LEAVE school in the following manner:

My child will LEAVE school in the following manner: Bus Rider Walker/Bike Rider Car Rider Daycare Van PLACE
My child will be:

My child will be: Escorted (by a family member/emergency contact) Unescorted (walk/bike on their own; no supervision)
If walking, my child will leave at the:

If walking, my child will leave at the: Front Gate Back Gate/Foxwood
Bus Number (afternoon)
If riding a daycare van please provide the name below. (afternoon)
RAINY DAY DISMISSAL FOR WALKERS AND BIKE RIDERS

If unable to dismiss walkers and bike riders due to bad weather conditions, students will remain in the classroom. Parents may drive through the Car Line with the Car Tag. If you need to pick them up as a walker, go the PE Shelter. You MUST have your hanging Car Tag or a picture ID.
IMPORTANT

If for any reason you need to change your child's dismissal, YOU MUST communicate through an email to teacher, or Class Dojo. We will not accept a verbal from the child.
I understand that the above information must be consistent as to the means that my child/children will use to get to and from school so that the school can insure that each child will arrive and depart school safely in the appropriate manner.
Parent/Guardian Signature

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date / MM / DD YYYY

DBES "Giddy Up and Go" Transportation Form 2020-2021

DBES "Giddy Up and Go" Transportation Form 2020-2021

MORNING

AFTERNOON

RAINY DAY DISMISSAL FOR WALKERS AND BIKE RIDERS

IMPORTANT