Daily School Bus Transportation Permission Slip

Student Name:

Grade/Teacher:

Parent/Guardian Name:

Address:

Phone Number:

Emergency Contact Name & Number:

Bus Route Number:

Pick-up Location:

Drop-off Location:

I give permission for my child to take the daily school bus as indicated above. I understand the school’s transportation rules and agree that my child shall abide by them.

Parent/Guardian Signature:

Date:

School Administrator Approval (if required):