Non-Public Transportation application

General information
Please select the school year you are applying for:

Please select the school year you are applying for: 2024-25
Application type

Application type Yellow bus application (elementary students in K-5) CDTA swiper application (middle and high school students in 6-12)
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. Morning Afternoon Both morning and afternoon
Student and parent/guardian contact info
Student name Student name First Last
Student ID
School name
School address School address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Grade
Gender
Date of birth Date of birth / MM / DD YYYY
Student's home address Student's home address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Parent/guardian name Parent/guardian name First Last
Primary phone Primary phone - ### - ### ####
Work phone Work phone - ### - ### ####
Emergency contact name Emergency contact name First Last
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? No Yes
Morning provider name
Morning provider address Morning provider address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
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? No Yes
Afternoon provider name
Afternoon provider address Afternoon provider address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
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 First Last
Parent/guardian email
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.

Non-Public Transportation application

General information

Student and parent/guardian contact info

Transportation to child care (optional)

Parent/guardian signature