Your Name:

Email Address:

Address:

Apartment:

City:

Zip:

Phone: (home)           (work): (ex. 817-555-1212)

Nearest Intersection:

Fill out the following information for each child (max. 6)

Student One:
Name: ID number: Grade: Select (if needed) Kindergarten First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth
School attending when using bus service? Select (if needed) Arlington HS Bowie HS Lamar HS Martin HS Newcomer Center Sam Houston HS Seguine HS Turning Point HS Venture HS Bailey JH Barnett JH Boles JH Carter JH Ferguson JH Gunn JH Hutcheson JH Nichols JH Ousley JH Shackelford JH Turning Point JH Workman JH Young JH Amos Elem Anderson Elem Ashworth Elem Atherton Elem Bebensee Elem Beckham Elem Berry Elem Blanton Elem Bryant Elem Burgin Elem Butler Elem Corey Elem Crouch Elem Crow Elem Ditto Elem Duff Elem Dunn Elem Ellis Elem Farrell Elem Fitzgerald Elem Foster Elem Goodman Elem Hale Elem Hill Elem Johns Elem Key Elem Knox Elem Kooken Ed. Center Larson Elem Little Elem Miller Elem Moore Elem Morton Elem Pearcy Elem Pope Elem Rankin Elem Remynse Elem Roark Elem Roquemore Elem Sherrod Elem Short Elem South Davis Elem Speer Elem Starrett Elem Swift Elem Thornton Elem Turning Point Elem Webb Elem West Elem Williams Elem Wimbish Elem Wood Elem

Student Two:
Name: ID number: Grade: Select (if needed) Kindergarten First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth
School attending when using bus service? Select (if needed) Arlington HS Bowie HS Lamar HS Martin HS Newcomer Center Sam Houston HS Seguine HS Turning Point HS Venture HS Bailey JH Barnett JH Boles JH Carter JH Ferguson JH Gunn JH Hutcheson JH Nichols JH Ousley JH Shackelford JH Turning Point JH Workman JH Young JH Amos Elem Anderson Elem Ashworth Elem Atherton Elem Bebensee Elem Beckham Elem Berry Elem Blanton Elem Bryant Elem Burgin Elem Butler Elem Corey Elem Crouch Elem Crow Elem Ditto Elem Duff Elem Dunn Elem Ellis Elem Farrell Elem Fitzgerald Elem Foster Elem Goodman Elem Hale Elem Hill Elem Johns Elem Key Elem Knox Elem Kooken Ed. Center Larson Elem Little Elem Miller Elem Moore Elem Morton Elem Pearcy Elem Pope Elem Rankin Elem Remynse Elem Roark Elem Roquemore Elem Sherrod Elem Short Elem South Davis Elem Speer Elem Starrett Elem Swift Elem Thornton Elem Turning Point Elem Webb Elem West Elem Williams Elem Wimbish Elem Wood Elem

Student Three:
Name: ID number: Grade: Select (if needed) Kindergarten First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth
School attending when using bus service? Select (if needed) Arlington HS Bowie HS Lamar HS Martin HS Newcomer Center Sam Houston HS Seguine HS Turning Point HS Venture HS Bailey JH Barnett JH Boles JH Carter JH Ferguson JH Gunn JH Hutcheson JH Nichols JH Ousley JH Shackelford JH Turning Point JH Workman JH Young JH Amos Elem Anderson Elem Ashworth Elem Atherton Elem Bebensee Elem Beckham Elem Berry Elem Blanton Elem Bryant Elem Burgin Elem Butler Elem Corey Elem Crouch Elem Crow Elem Ditto Elem Duff Elem Dunn Elem Ellis Elem Farrell Elem Fitzgerald Elem Foster Elem Goodman Elem Hale Elem Hill Elem Johns Elem Key Elem Knox Elem Kooken Ed. Center Larson Elem Little Elem Miller Elem Moore Elem Morton Elem Pearcy Elem Pope Elem Rankin Elem Remynse Elem Roark Elem Roquemore Elem Sherrod Elem Short Elem South Davis Elem Speer Elem Starrett Elem Swift Elem Thornton Elem Turning Point Elem Webb Elem West Elem Williams Elem Wimbish Elem Wood Elem

Student Four:
Name: ID number: Grade: Select (if needed) Kindergarten First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth
School attending when using bus service? Select (if needed) Arlington HS Bowie HS Lamar HS Martin HS Newcomer Center Sam Houston HS Seguine HS Turning Point HS Venture HS Bailey JH Barnett JH Boles JH Carter JH Ferguson JH Gunn JH Hutcheson JH Nichols JH Ousley JH Shackelford JH Turning Point JH Workman JH Young JH Amos Elem Anderson Elem Ashworth Elem Atherton Elem Bebensee Elem Beckham Elem Berry Elem Blanton Elem Bryant Elem Burgin Elem Butler Elem Corey Elem Crouch Elem Crow Elem Ditto Elem Duff Elem Dunn Elem Ellis Elem Farrell Elem Fitzgerald Elem Foster Elem Goodman Elem Hale Elem Hill Elem Johns Elem Key Elem Knox Elem Kooken Ed. Center Larson Elem Little Elem Miller Elem Moore Elem Morton Elem Pearcy Elem Pope Elem Rankin Elem Remynse Elem Roark Elem Roquemore Elem Sherrod Elem Short Elem South Davis Elem Speer Elem Starrett Elem Swift Elem Thornton Elem Turning Point Elem Webb Elem West Elem Williams Elem Wimbish Elem Wood Elem

Student Five:
Name: ID number: Grade: Select (if needed) Kindergarten First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth
School attending when using bus service? Select (if needed) Arlington HS Bowie HS Lamar HS Martin HS Newcomer Center Sam Houston HS Seguine HS Turning Point HS Venture HS Bailey JH Barnett JH Boles JH Carter JH Ferguson JH Gunn JH Hutcheson JH Nichols JH Ousley JH Shackelford JH Turning Point JH Workman JH Young JH Amos Elem Anderson Elem Ashworth Elem Atherton Elem Bebensee Elem Beckham Elem Berry Elem Blanton Elem Bryant Elem Burgin Elem Butler Elem Corey Elem Crouch Elem Crow Elem Ditto Elem Duff Elem Dunn Elem Ellis Elem Farrell Elem Fitzgerald Elem Foster Elem Goodman Elem Hale Elem Hill Elem Johns Elem Key Elem Knox Elem Kooken Ed. Center Larson Elem Little Elem Miller Elem Moore Elem Morton Elem Pearcy Elem Pope Elem Rankin Elem Remynse Elem Roark Elem Roquemore Elem Sherrod Elem Short Elem South Davis Elem Speer Elem Starrett Elem Swift Elem Thornton Elem Turning Point Elem Webb Elem West Elem Williams Elem Wimbish Elem Wood Elem

Student Six:
Name: ID number: Grade: Select (if needed) Kindergarten First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth
School attending when using bus service? Select (if needed) Arlington HS Bowie HS Lamar HS Martin HS Newcomer Center Sam Houston HS Seguine HS Turning Point HS Venture HS Bailey JH Barnett JH Boles JH Carter JH Ferguson JH Gunn JH Hutcheson JH Nichols JH Ousley JH Shackelford JH Turning Point JH Workman JH Young JH Amos Elem Anderson Elem Ashworth Elem Atherton Elem Bebensee Elem Beckham Elem Berry Elem Blanton Elem Bryant Elem Burgin Elem Butler Elem Corey Elem Crouch Elem Crow Elem Ditto Elem Duff Elem Dunn Elem Ellis Elem Farrell Elem Fitzgerald Elem Foster Elem Goodman Elem Hale Elem Hill Elem Johns Elem Key Elem Knox Elem Kooken Ed. Center Larson Elem Little Elem Miller Elem Moore Elem Morton Elem Pearcy Elem Pope Elem Rankin Elem Remynse Elem Roark Elem Roquemore Elem Sherrod Elem Short Elem South Davis Elem Speer Elem Starrett Elem Swift Elem Thornton Elem Turning Point Elem Webb Elem West Elem Williams Elem Wimbish Elem Wood Elem

I certify that the above information, to the best of my knowledge is correct and without error.

Parent/Guardian Name:

Signature: (Your initials only)