GURNEE SCHOOL DISTRICT #56

New Student Bus Registration Form

Please PRINT all information.  (One form per student.)

Student’s Name: _________________________________________ Grade _____ Year 2017/2018
D.O.B.: _____________ School of Attendance for the 2017-2018 School Year: ______________________

Parent/Guardian Name: __________________________________________________________________

Complete Home Address:_________________________________________________________________ City: ____________________________ Zip: ___________ Home Phone: __________________________

Mother’s Work Place: _______________________________ Work Phone: __________________________

Father’s Work Place: ________________________________ Work Phone: _________________________

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CHILD CARE INFORMATION

If your child will be picked up or dropped off at an address other than the address listed above, please provide the following information:

Pick up at:

Name of Care Giver: _______________________________________ Phone #:______________________ Address: ______________________________________________________________________________

Drop off at:

Name of Care Giver: _______________________________________ Phone #:______________________ Address: ______________________________________________________________________________

(These addresses MUST be within the Gurnee School District boundaries in order for bus transportation to be provided.)

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EMERGENCY CONTACT - other than parents

Name: ________________________________ Phone #:_____________ Relationship:________________

I understand that my child will not be permitted to ride the bus at any time unless a form has been completed and kept on file with transportation.

My child is/will be aware of the bus regulations (a copy of the bus regulations is attached as well as the disciplinary action for rule violations.

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Parent/Guardian Signature	Date

GURNEE SCHOOL’S TRANSPORTATION
336-8997

Free transportation is provided for children living in Gurnee School District #56 over 1 1/2 miles from school or for children living on a hazardous route who are under 1 1/2 miles from school.

Children must board at their assigned stops on a consistent five (5) day-a-week basis. Drivers are instructed not to allow children to ride any bus other than their assigned bus except in an emergency. All other requests for changes in bus assignments should be directed to the Transportation Coordinator, c/o the School Office in writing 48 hours before the change will take effect. In an emergency, parents must contact the child’s school office for permission to have their child ride another bus.

The school reserves the right to deny the use of the bus to students who violate bus rules. Bus rules will be discussed with the students early in the year.

Instructions to School Bus Riders

Gurnee School District #56 buses transport children at least twice each day. To provide for the safety of all riders, the following rules must be enforced:

1.	Students shall be at their designated bus stop five minutes before scheduled time. Proper behavior is expected at the bus stop. Stay off the road, but be visible to the bus driver. Wait until the bus comes to a complete stop before attempting to board the bus. 

2.	Students shall be absolutely quiet when approaching and crossing railroad tracks. 

3.	The driver is in charge at all times children are on the bus, including emergency situations. 

4.	In the interest of student safety, the following shall be observed: *Students shall remain in their assigned seats as applicable. *Nothing shall be placed in the aisles or out the window. 

*Quiet talking only with your seat partner. *Hands and feet shall be kept to yourself. 
*Treat school property and all people with respect. 
*Nothing should be thrown inside of the bus or out of bus windows. 

5.	Animals, portable radios, walkmans, tape/CD players, electronic games, gum, and food (except school lunches, which must not be eaten on the bus) are not allowed on the bus. 

6.	Observe safety precautions at pickup and drop off points. Where it is necessary to cross the road, proceed to a point at least 10 feet in front of the bus on the right shoulder of the road where traffic may be observed in both directions. Wait for a signal from the bus driver permitting you to cross. 

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