Special Needs Student Transport Authorization Consent Form
Student Information
Student Name
Date of Birth
School Name
Grade
Parent or Guardian Information
Parent/Guardian Name
Contact Number
Email
Address
Transport Details
Pick-Up Location
Drop-Off Location
Specific Transport Needs / Equipment
Medical Information
Relevant Medical Conditions
Emergency Contact
Emergency Contact Phone
Consent & Authorization
I authorize my child to utilize special needs student transport services provided by the school.
I consent to any necessary medical treatment in case of emergency during transport.
Parent/Guardian Signature
Date