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4. Student First Name*
5. Student Last Name*
6. Grade*
   -- Select One --K123456789101112
8. Campus*
   -- Select One --Academic VillageCentral EastFSUWest
10. Home Address*
11. City*
12. Zicpode*
14. Name of Development (if applicable)
15. Name of Subdivision (if applicable)
17. Date to Start Transportation*
    Date to Start Transportation
18. Select Transportation Time Request*

    1. A.M.
    2. P.M.
    3. Both A.M. and P.M.
20. Parent Email*
    We will be responding to your inquiry using the email address provided above.
21. Phone Number*
    Please list a phone number where you may be reached (in the event we have a question or concern).

25. Route pick up time and drop off time is estimated.  We ask all students to arrive at the bus stop 15 minutes prior to the scheduled stop time.  Also, in the afternoon, if you meet your child at the Stop, please arrive 15 minutes prior to the scheduled drop off time.

    Pick Up and Drop Off time variances may be due to traffic conditions, weather conditions, lane closures due to an accident or maintenance or in the PM, delays in leaving school.

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27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field