| Name of Student:
Grade:
|
| Home Phone # :
|
| Parent or Guardian Work Phone # : |
The student named above is requesting a bus pass for:
|
| Date or Dates:
|
| Bus Route # :
am
noon
pm
|
Name of adult and address for requested bus stops:
|
| Name of WJH students living at requested stops:
|
| Emergency reason for requested bus pass
|
| Parent/ Guardian signature
:
|
| This form must be dropped off at
the main office, in the
basket before 3rd hour on the requested date |
TCAPS does not issue bus passes for social reasons,
employment purposes or doctor appointments |
| We do issue passes for emergency reasons.
|
Approved________ Denied_______ Questions 933-8360 |
