Change of Pick-Up/Drop-Off

  • Student and parent/guardian contact info

  • Student name Student name *
  • Date of birth Date of birth * / /
    Pick a date.
  • Address Address *
  • Parent/guardian name Parent/guardian name *
  • Primary phone Primary phone * - -

  • Pick-up information

  • Do you need to update your child's morning pick-up location? *
    Do you need to update your child's morning pick-up location?
  • Please enter the new address where your child should be picked up every day: Please enter the new address where your child should be picked up every day: *
  • The address entered above is: *
    The address entered above is:
  • Morning provider phone Morning provider phone * - -

  • Drop-off information

  • Do you need to update your child's afternoon drop-off location? *
    Do you need to update your child's afternoon drop-off location?
  • Please enter the new address where your child should be dropped off every day: Please enter the new address where your child should be dropped off every day: *
  • The address entered above is: *
    The address entered above is:
  • Afternoon provider phone Afternoon provider phone * - -

  • Parent/guardian signature

    I have read and understand all of the information provided on this transportation request form.

    I certify that I am a resident of the City School District of Albany and am entitled to receive transportation services.

  • Parent/guardian name Parent/guardian name *
  • Draw or Type
    I understand this is a legal representation of my signature. Clear
    Signature
    I understand this is a legal representation of my signature.