* Required

Student Information

School Information

Current Pick-Up and Drop-Off Information

(if different than pick-up bus stop)​​​​

Requested Pick-Up & Drop-Off Information

(If your student is a boundary exception, we will select a stop closest to the address provided)​​
(If different than pick-up address)​​

Childcare Provider Information

Guardian Information

Additional Information

By submitting this document, I, the above listed PARENT/GUARDIAN, authorize the release of the above listed student on the terms listed in this document and assume full responsibility for my child after they depart the bus. As the PARENT/GUARDIAN, I relieve the Monroe School District of responsibility for events occurring after such departure.