2022-2023 Student Bus Rider Sign-up Form (English)

Exeter Unified School District- Transportation Dept.

1105 Rocky Hill Drive

Exeter, CA 93221

559-592-5573

Please complete the form below. Required fields marked with an asterisk *

Student's Full Name*

Answer Required

School Site*

Answer Required

Grade*

Answer Required

Student's Home Address*

Answer Required

Parent/Guardian Name*

Answer Required

Parent/Guardian Phone Number- use "0001112222" format- NO dashes*

Answer Required

Parent/Guardian Phone Number 2

Answer Required

Parent/Guardian Email Address

Answer Required

AM Bus Stop Location Pick-up (Adult of sibling must be present with Kindergarten students)*

Answer Required

PM Bus Stop Location Drop-off (Adult of sibling must be present with Kindergarten students)*

Answer Required

Wilson Students ONLY (check all that apply)

Answer Required

Wilson Cross Town to Rocky Hill (AM)

Wilson Cross Town from Rocky Hill (PM)

Wilson Cross Town to Lincoln (AM)

Wilson Cross Town from Lincoln (PM)

Not sure which route your child takes? Click HERE to review each route.

*If you do not know your students bus stop, please call (559) 592-5573.

Rocky Hill/Lincoln Students ONLY

Answer Required

Boys and Girls Club Drop Off (check for yes)

Heart Program (check for yes)

K-5th Grade with-in City Limits Elementary Community Bus Stops*

Answer Required

Route 1- Lincoln/Wilson/High School

Route 2- Rocky Hill/Lincoln

Route 3- Rocky Hill/Wilson/High School

Route 4- Rocky Hill/Wilson

Route 5- Lincoln- Rocky Hill B&G Club/High School

Route 6- Rocky Hill & Lincoln Heart Program/Wilson Edge Program

Will your child be met at the bus stop by an adult? If so, please list the name.*

Answer Required

Yes

If you mark "YES" and nobody is at the bus stop, we will not wait for you. Your student will be returned to their school after the route is finished.

Name of adult meeting my child at his/her stop.

Answer Required

Does your child have any health issues (allergies, seizures, diabetes, etc.) that you feel the bus driver needs to know about? If so, please list them below.

Answer Required

Please fix the highlighted areas below before submitting.

2022-2023 Student Bus Rider Sign-up Form (English)