Cole R1 School District Logo

Parent/Guardian

By state law, all bus drivers must carry with them a roster of all students riding their bus. Please fill out the information below so that your student(s) will be included on the roster. It is the Parent/Guardian's responsibility to have your child at the designated bus stop at least 5 minutes before the morning pick-up time and drop-off time in the afternoon. This allows extra time for a safe pick-up and drop-off in case of unforeseen circumstances, road conditions, inclement weather, substitute drivers or mechanical problems.

* information is required

STUDENT'S NAME *  

GRADE 

SIBLINGS 

PARENT/GUARDIAN NAME * 

ADDRESS * 

CITY 

STATE   ZIP-CODE 

HOME PHONE 

CELL PHONE * 

WORK PHONE 

DOES YOUR STUDENT PLAN TO USE COLE COUNTY R1 SCHOOL DISTRICT BUS SERVICES THROUGHOUT THE YEAR? 
 YES   NO

IF YES, WILL SERVICES BE USED FOR

  Pick up   Drop Off   Both

 Pick up   Drop Off   Both

BEFORE SCHOOL, MY CHILD WILL

RIDE THE BUS FROM THE FOLLOWING ADDRESS 

CAR RIDER WITH THE FOLLOWING PERSON 

WALK

AFTER SCHOOL, MY CHILD WILL

RIDE THE BUS TO THE FOLLOWING ADDRESS 

CAR RIDER WITH THE FOLLOWING PERSON 

WALK

ALTERNATE ROUTE

Students will only be allowed to ride on bus to one destination, either home or to an alternate site. We realize on occasion there will be a need for your child to ride a different bus or be dropped off at an alternate location. We ask that you attempt to keep this to a minimum. On the date that your child does need to be dropped off at a spot other than your home/ babysitter, we ask that you inform the office as early as possible so personnel can prepare the bus pass. Building offices are very busy at the end of the day and waiting until then will cause delays in buses being able to depart from school. The alternate stop must be on an established route. 

NAME 

HOME PHONE 

CELL PHONE 

ADDRESS 

CITY 

THIS ALTERNATE ADDRESS WILL BE USED FOR THE PURPOSE   Pick up   Drop Off 

EACH DAY YOUR CHILD WILL BE SENT HOME AS YOU HAVE INDICATED ABOVE. PLEASE NOTIFY THE SCHOOL OFFICE WITH ANY CHANGES THAT MAY OCCUR IN TRANSPORTATION AND/ OR CONTACT INFORMATION.

 BY CHECKING THIS BOX, I, THE PARENT OR GUARDIAN, AGREE THE INFORMATION STATED ABOVE IS CORRECT.