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5. 2P Adopted July 1979 Revised March 2005 Transportation for Students in Daycare PARENT/GUARDIAN This form must be completed for any move to daycare or change of daycare location by a resident or non-resident elementary school student within the attendance area of the school the student currently attends. I understand the school district s responsibility will be to transport my child from the daycare location to school and from school to the daycare location. School/transportation must be notified of any change in this information during the current school year. A new form must be filled out prior to each school year. Parent/Guardian SignatureDate RETURN TO STUDENT S ELEMENTARY SCHOOL -------------------------------------------------------------------------------------------------------------------OFFICE USE SCHOOL RECEIVED COPY TO TRANSPORTATION TRANSPORTATION RECEIVED Procedures/700 series/707. INDEPENDENT SCHOOL DISTRICT 196 Rosemount Minnesota Educating our students to reach their full potential Series Number Title 707. Non-resident students must already have approved District Procedure 502. 4. 4P Student Transfers Daycare for Students in Grade K-5 on file in the district for the school year in question* Student Last name First Middle initial Grade Home address Street name City Zip code Parent s or Guardians s Middle Home phone Work phone Cell phone Daycare provider Daycare phone School attending School year Start Date Daycare To School MTWTHF From School MTWTHF i*e* daycare transports SACC walker Home I understand it is my responsibility to bring my child to this location and to take my child from this location to my residence. I understand the school district s responsibility will be to transport my child from the daycare location to school and from school to the daycare location* School/transportation must be notified of any change in this information during the current school year. A new form must be filled out prior to each school year. Parent/Guardian SignatureDate RETURN TO STUDENT S ELEMENTARY SCHOOL -------------------------------------------------------------------------------------------------------------------OFFICE USE SCHOOL RECEIVED COPY TO TRANSPORTATION TRANSPORTATION RECEIVED Procedures/700 series/707. Non-resident students must already have approved District Procedure 502. 4. 4P Student Transfers Daycare for Students in Grade K-5 on file in the district for the school year in question* Student Last name First Middle initial Grade Home address Street name City Zip code Parent s or Guardians s Middle Home phone Work phone Cell phone Daycare provider Daycare phone School attending School year Start Date Daycare To School MTWTHF From School MTWTHF i*e* daycare transports SACC walker Home I understand it is my responsibility to bring my child to this location and to take my child from this location to my residence. I understand the school district s responsibility will be to transport my child from the daycare location to school and from school to the daycare location* School/transportation must be notified of any change in this information during the current school year.

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