Grade K & 1

This form is provided for those families who have a child in grade K or 1, who are unable to disembark the school bus at the end of the day without an approved adult present.

District

School

Grade

Student Last Name

Student First Name

Birth Date

GSACRD STUDENT ID#:

Parents/Guardians may provide below a maximum of 4 additional adults approved to pick their child up from the bus.

Last Name

First Name

Preferred Phone

Relationship

Last Name

First Name

Preferred Phone

Relationship

Last Name

First Name

Preferred Phone

Relationship

Last Name

First Name

Preferred Phone

Relationship

Submitted by

Last Name

First Name

The information provided on this form, collected under the authority of the Protection of Privacy Act, will be used to provide and support programming and services in Greater St. Albert Catholic Schools. Questions regarding the collection and use of this information can be directed to the Transportation Manager or Access and Privacy Coordinator at 780-459-7711. The information may be used in automated systems to fulfill the purpose stated above

Grade K & 1

More than one student matches the criteria submitted. Please select the student to use

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