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Hamburg Central School District Alternate Site Application for Transportation
* denotes required field

I hereby request that my child be transported to/from the following place other than his/her legal residence. Delivery to and/or from an alternate site must be on a consistent basis from week to week, for one or more days per week. Alternate site requests will be for only one alternate location. A request must be submitted to Fisher Bus Service for approval SEVEN DAYS prior to effective date of change and must be signed by the parent or guardian. Upon receipt, Fisher Bus Service will notify parent/guardian of approved/disapproved requests.
  Student for whom application is being made:
Name*:   
Legal Address*: 
City, State*: 
      Zip: 
Phone*: 
Emergency Number*: 
School Attending*: 
Grade*:  If Pre-K:   AM    PM
  LOCATION OF ALTERNATE SITE:
Name*:   
Address*: 
City, State*:
      Zip: 
Phone*: 
Reason for Request*: 
  Please indicate by checking the appropriate box(es) the days and times to be transported to or from alternate location:
  Pick-up*
  Mon    Tue    Wed    Thu    Fri
  Drop-off*
  Mon    Tue    Wed    Thu    Fri
  Effective Date*
 
  I certify that as the above-named parent/guardian, I do assume complete and full responsibility for the safety and welfare of the student, both prior to and after transportation from alternate locations.
  Parent or Guardian Name
 
  Date
 
 

If you need an immediate response, please call 716-648-7766. You can reach Sandy Green - ext. 13

Click Here to Download Hamburg School District Alternate Transportation Site Application or complete and submit the form below.

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