Private, Parochial, or Charter Schools Annual Transportation Application

All fields MUST be filled in or If you are not using daycare please enter "NONE" in those fields. Private/Parochial do not always use daycare but the form will not submit without those fields filled in.

DIRECTIONS: 1. Your child must be school age to be eligible for transportation (age 5 by December 1st of the year of this request) 2. A separate form must be used for each child 3. Forms MUST be received, per NYS Education Law, no later than April 1st of the year preceding school year 4. Allow 5 business days for processing



School
 
Grade
 
Start Date
(mm/dd/yyyy)
 
Student First Name
 
Student Last Name
 
Gender
 
Date of Birth
(mm/dd/yyyy)
 
Parent First Name
 
Parent Last Name
 
Home Address
 
Home Phone #
 
Cell Phone #
 
Child Care Provider Name:
 
Child Care Provider Name:
 
Child Care Provider Address
 
Child Care Provider Address
 
Child Care Provider Phone #
 
Child Care Provider Phone #
 
Monday Before School Pick Up



 
   
 
Tuesday Before School Pick up



 
   
 
Wednesday Before School Pick Up



 
   
 
Thursday Before School Pick Up



 
   
 
Friday Before School Pick Up



 
   
 
Monday After School Drop Off



 
   
 
Tuesday After School Drop Off



 
   
 
Wednesday After School Drop Off



 
   
 
Thursday After School Drop Off



 
   
 
Friday After school Drop Off



 
   
 
Enter your Email address
 



Webster Central School District
119 South Ave. Webster, NY 14580
p:585.216.0000 f:585.265.6561
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