Bus Pass

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Bus Pass
Please use the forms below if your child needs to go home instead of attending
Extended School Care, go home with another student, or take another bus to a
sitter in the Walton Farm busing area. When children go to a friend’s house, both
parents must provide signed permission. You may use the form below or write a
note.
Thank you for supporting our efforts to ensure the safety of our children.
Bus Pass
Please allow my child, ______________________ to go home with
______________________ on (date/s) ___________________, on bus #____________.
My child usually : (please check one)
_____ rides bus # ________.
_____ attends Extended School Care (ESC).
_____ rides a daycare van.
_____ is picked up by a parent/guardian
Parent Signature____________________________ Date_________________________
Bus Pass
Please allow my child, ______________________ to go home with
______________________ on (date/s) ___________________, on bus #____________.
My child usually : (please check one)
_____ rides bus # ________.
_____ attends Extended School Care (ESC).
_____ rides a daycare van.
_____ is picked up by a parent/guardian
Parent Signature____________________________ Date_________________________
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