* Required

Student Information

School Information

Kindergarten Information

Your child will not be let off the bus without an adult or an older sibling present. Please list names and phone numbers of adults who have permission to pick-up your child.​

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.