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Centralia Student Transportation Form

This form must be completed in full for transportation to be provided.

Student Information:

Home Address

Mailing Address (if different from above)

Parent/Guardian Information:

Emergency Contact:

Pick up/Drop off Location Selections:

Pick Up Location- Mark Selection(s) below*
Answer Required
Drop Off Location- Mark Selection(s) below*
Answer Required

*PLEASE NOTE: For Elementary Students Only

Transportation can only be provided to/from locations within your elementary school boundary

Alternate Pick up location:

Alternate drop off location:

To provide your child with school transportation, it is necessary to have accurate and current information. if CHANGES occur with any of the above inforamtion (i.e., student moves, changes in childcare), please contact your student's school and our Transportation Team immediately at 360-330-7628.

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