For questions about delivery or pickup of your child, please call the Mid Columbia Bus Company at 756-2341
Student Name: / Date:
School:Hillcrest Elementary School / Grade: / K / 1 / 2 / 3 / 4 / 5 / 6
Parent/Guardian Name(s): / Home Phone:541-000-0000
Address: / Work Phone(s): 541-000-0000
Cell Phone/Pager: 541-000-0000
Day Care Information/ Drop Off - If Different From Home
Caregiver Name: / Phone: 541-000-0000
Address:
Date / Days M - F / Address for A.M. Pickup / Route / Approximate Pickup Time / Actual Location of Pickup
Date / Days
M - F / Address for P.M. Return / Route / Approximate Return Time / Actual Location of Return
My Documents:Bus form.sm.2006 - 2007
Return information, continued….
Date / DaysM - F / Address for P.M. Return / Bus # and Name / Approximate Return Time / Actual Location of Return