Non-Public Transportation application

  • General information

  • Please select the school year you are applying for: *
    Please select the school year you are applying for:
  • Application type *
    Application type
  • Please indicate if your child requires transportation in the morning, afternoon or both. *
    Please indicate if your child requires transportation in the morning, afternoon or both.

  • Student and parent/guardian contact info

  • Student name Student name *
  • School address School address *
  • Date of birth Date of birth * / /
    Pick a date.
  • Student's home address Student's home address *
  • Parent/guardian name Parent/guardian name *
  • Primary phone Primary phone * - -
  • Work phone Work phone - -
  • Emergency contact name Emergency contact name *
  • Emergency contact phone Emergency contact phone * - -

  • Transportation to child care (optional)

    To request transportation to a child care or baby sitter, please fill out the section below. The child care location must be more than 1.5 miles from your child’s school, and within school district boundaries.

    Pick-up and/or drop-off must occur at the same address for all five days of the week.

    This section is for child care programs only; if you have moved and need to change pick-up/drop-off to a new home address, a Change of Address form must be completed at our Central Registration Office.

  • Does your child need to be picked up from a morning care provider every day? *
    Does your child need to be picked up from a morning care provider every day?
  • Morning provider address Morning provider address *
  • Morning provider phone Morning provider phone * - -
  • Does your child need to be dropped off at an afternoon care provider every day? *
    Does your child need to be dropped off at an afternoon care provider every day?
  • Afternoon provider address Afternoon provider address *
  • 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.