School Bus Registration

Students Attending Northland School Division Schools

Students attending a Northland School Division (NSD) Schools must notify the school of transportation requirements.

Students attending schools out side of NSD (Eg. High Prairie or Cold Lake)

Students attending outside schools must submit a Transportation Registration Form by completing the form below.

If your child changes schools, moves to a different location, or requires different transportation needs select the drop down at the top to indicate that this is a change request.

Your child must be currently enrolled and attending the school you are applying transportation services for.

This application may take up to 10 business days to process. In the meantime, please make sure you have alternate transportation arranged until you have been advised of your busing information.

Type *

From (Community) *

Application Date *

The Date Transportation is Required: *

Student Information - Please use legal names

Student First Name *

Student Last Name *

Student Date of Birth *

Student Grade *

What School Does Your Child Attend: *

Student Mailing Address *

Town *

Postal Code *

Primary Home Residence Information

Is Busing Required from Primary Home Residence? *

AM Busing is required from home residence

PM Busing is required from home residence

AM & PM Busing is required from home residence

Busing is NOT required from home residence

What is the Physical/CIVIC Address for the Primary Home Residence? (For Rural addressing use the address on the sign at the end of the driveway. Do not enter PO Box #) *

Primary Parent / Guardian Name: *

Primary Residence Main Phone Number *

Primary Home Cell Phone Number *

Primary Parent / Guardian Email *

Secondary Home Information

For shared / joint custody only

If Secondary Home Transportation is requires, please fill out all of the blanks in this section.

Does your child require transportation because of a Shared/Joint Custody Arrangement? *

Yes

Is busing required from a Secondary Home Residence?

AM Busing is required from a Secondary Home Residence

PM Busing is required from secondary home residence

AM & PM Busing is required from secondary home residence

Busing is NOT required from secondary home residence

What is the physical address for the Secondary Home Residence? (For Rural addressing use the address on the sign at the end of the driveway. Do not enter PO Box #) Please enter n/a if not applicable.

Secondary Home Parent / Guardian Name: (Please enter n/a if not applicable)

Secondary Home Main Phone Number

Secondary Home Cell Phone Number

Secondary Home Email

Alternate Location Information

Note: Alternate locations are for regular / frequent busing only. Eg. Dayhome/Childcare facility. Due to seating restraints we may not be able to provide busing to alternate locations.

If Alternate Location Transportation is required, please fill out all of the blanks in this section.

Does your child require transportation from and/or to an alternate location?? *

Yes

What is the name and/or purpose for requiring busing to the alternate location? (Please enter n/a if not applicable. )

What is the Physical Address for the Alternate Location? (For Rural addressing use the address on the sign at the end of the driveway. Do not enter PO Box #) Please enter n/a if not applicable.

Alternate Address Contact Name: (Please enter n/a if not applicable)

Alternate Location Main Phone Number

Alternate Location Cell Phone Number

Alternate Location Email

Additional Information

Is there any additional information we should know about regarding this application?

Does your child have any medical conditions the school bus driver should be aware of? Please also indicate if your child requires any special transportation needs. Please enter n/a if not applicable. *

Additional Information *

Name of the person filling out the form. Please enter in case we need to contact you regarding any clarifications to the application. *

Phone Number: (Please enter in case we need to contact you regarding any clarifications to the application.) *

PLEASE READ TO BE INFORMED OF CURRENT TRANSPORTATION SERVICES

Your child must be enrolled and currently attending the school you are applying transportation services for.

This application may take up to 10 business days to process. In the meantime, please make sure you have alternate transportation arranged until you have been advised of your busing information.

FOIP

The information on this registration form is being collected in accordance with the Freedom of Information and Protection of Privacy Act and under the authority of the School Act, and Northland School Division Policy. Its collection is necessary to provide information that will allow the school division to provide transportation services for student to and from school. If you have any questions about the collection of this information, contact the FOIP Coordinator at Northland School Division, 9809 – 77^th Ave. Peace River, AB T8S 1C9 Phone: (780) 624-2060.

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