THORNAPPLE KELLOGG SCHOOLS CHILD CARE INFORMATION FORM - ALTERNATE ADDRESS BUSING Please fill out this form completely. Please understand that we are no longer allowing day variant schedules. There will be one address for am pickup and one address for pm drop off. Also daycare must be in the boundaries of the school district your child is attending or transportation will not be available. This information will be shared between your school and transportation. This information is vital to make bus routes and student records accurate and more importantly to ensure your child gets dropped off at the correct address everyday. Please update this form anytime your daycare arrangement changes. These forms are available at the school building offices. PLEASE USE THIS FORM IF YOUR CHILD IS ALSO ENROLLED AT TK DAYCARE. STUDENT INFORMATION: (One form per student please) TODAYS DATE: STUDENT NAME:

GRADE:

SCHOOL ATTENDING:

PARENT NAME:

ADDRESS: CONTACT PHONE:

WORK PHONE:

 I PLAN ON TRANSPORTING MY CHILD TO AND FROM SCHOOL CHILD CARE INFORMATION: NAME OF CHILD CARE PROVIDER: ADDRESS: PHONE: EFFECTIVE DATE: SCHEDULE: PLEASE SPECIFY HOME ADDRESS OR DAYCARE: Please fill in address for AM pickup and PM drop off AM PICK UP PM DROP OFF Any changes to this schedule must be done at least three days in advance along with required paperwork. 3/8/16