Kinder Bus Registration

I certify that this child is eligible for bus services (resides more than 1 mile for elementary or 1.5 miles for middle/high school), and that they are not on a boundary waiver (school transfer) or requesting a temporary rider permit. NOTE: If you are uncertain - STOP - and contact Transportations Services at: 541.744.6373 Question is mandatory

Yes, I certify this student is eligible for bus service for this school.

First Name - Preferred Question is mandatory

Last Name - Preferred Question is mandatory

Student ID number

School

Parent/Guardian Name Question is mandatory

Parent/Guardian Email Address Question is mandatory

Parent/Guardian Daytime Phone Question is mandatory

Alternate individual to whom the student can be released (ie: siblings, family members, friend etc.) Note: individual must be in 3rd grade or older.

Individual's relationship to student (grandparent, aunt, family, friend etc.)

Student plans to ride the bus: (choose all that apply) *Note: If you are planning transportation to/from an alternate address (after school program, daycare, etc.) please make sure it's noted below. Question is mandatory

To school only

From school only

No bus plans

Other (Please specify)

Primary address: Street Number (this is where the student lives the majority of the time) Question is mandatory

Primary address: Street Name Question is mandatory

Primary address: Apartment # or Unit #

Primary address: City Question is mandatory

Primary address: Zip Code Question is mandatory

Other comments?

Requested start date for bus service Question is mandatory

(MM/DD/YYYY)